medical terminology 4 - WhatisMAC areCMSguidelines ,

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What is MAC? Medical Administrative Contractor If a NCD does not exist what  are CMS guidelines? Where coverage of an item or service is provided for specified indications or  circumstances but is not explicitly excluded for others, or where the item or service  is not mentioned at all in the CMS Manual System, the Medicare contractor is to  make the coverage decision, in consultation with its medical staff and with CMS  when appropriate, based on the laws, regulations, ruling and general program  instructions. How often should Practices  check policies to maintain  compliance? Quarterly What does ABN stand for Advance Beneficiary Notice of Noncoverage, or Advance Beneficiary Notice What is an ABN? A standardized form that explains to the patient why medicare may deny a  particular service or procedure.
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  • Fall '10
  • Cowley
  • Advance Beneficiary Notice

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