Payer policy
MAC
The private contractor that processes Medicare Part B claims for a defined geographic jurisdiction.
What it means in dermatology
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.
Multi-state dermatology groups routinely trip on this by applying one jurisdiction's destruction frequency rule across every location.
Why it matters to your revenue
Your MAC sets the rules that govern the majority of a typical dermatology book.
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 — including where terms like this one are costing you money.
Request a free claims audit