Payer policy · Definition
MAC: Definition
The private contractor that processes Medicare Part B claims for a defined geographic jurisdiction.
This is a short definition only. The full explanation lives on Medicare dermatology billing, which is the page to read if you are dealing with this on live claims.
Definition
Also known as: Medicare Administrative Contractor
Novitas, Noridian, Palmetto GBA, WPS, NGS, First Coast and CGS each publish their own LCDs, edits and appeal procedures.
A practice's MAC is determined by where the service is furnished.
For worked examples, payer rules and documentation requirements, read Medicare dermatology billing. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.