Coordination With A/B MACs (A) and Providers

110.3 - Coordination With A/B MACs (A) and Providers (Rev. 1, 10-01-03) HO-437, A3-3628 There may be procedures hospitals bill for outpatients that are not included in the fee schedule. Where gaps occur, hospitals should work out procedures with the A/B MAC (A) so that the hospital can secure the missing information promptly. Price Codes established by the A/B MAC (B) to fill gaps are valid until replaced by the earlier of permanent codes or the next annual update.