CWF and PS&R Requirements - A/B MAC (A)

50 - CWF and PS&R Requirements - A/B MAC (A) (Rev. 2044, Issued: 09-03-10, Effective: 09-30-10, Implementation: 09-30-10) The A/B MAC (A) reports the procedure codes in the financial data section (field 65a- 65j) of the PS&R record. It includes revenue code, HCPCS, units, and covered charges in the record. Where more than one HCPCS procedure is applicable to a single revenue code, the provider reports each HCPCS and related charge on a separate line. The A/B MAC (A) reports the payment amount before adjustment for beneficiary liability in field 65g “Rate” and the actual charge in field 65h “Covered Charges.” The PS&R system includes outpatient rehabilitation, and CORF services listed in subsections E and F on a separate report from cost based payments. See the PS&R guidelines for specific information.