Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 50.2

Assisting A/B MAC or DME MAC Action

Last amended: 2016Year: 2016Length: 170 wordsOfficial source
50.2 - Assisting A/B MAC or DME MAC Action (Rev. 3468, Issued: 02-18-16, Effective: 12-02-15, Implementation: 12-02-15) Upon receipt of a request for assistance, the assisting A/B MAC or DME MAC adjusts or cancels the posted bill, as appropriate, and informs the requesting A/B MAC or DME MAC by annotating the request form (under explanation of action taken by assisting A/B MAC or DME MAC) with a description of its action (e.g., adjustment cleared CWF (date), current dates of service are __________.) The assisting A/B MAC or DME MAC completes corrective actions within 30 calendar days of receiving the request. If it cannot complete action within 30 days, provide a status reply explaining the reasons on a copy of the request form. The assisting A/B MAC or DME MAC sends a copy of the reply to the RO. The assisting A/B MAC or DME MAC uses the request form on all correspondence to the requesting A/B MAC or DME MAC to facilitate association of its response with the pending action.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 50.2: Assisting A/B MAC or DME MAC Action | Justis AI