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EM Coding Alert

You Be the Coder:

Understand Exam Levels for Other MACs

Question: Our office is located in New Jersey, and we see patients from Pennsylvania, too. Concerning last month’s article about the NGS ruling around the physical exam, can you tell me more about the rules concerning expanded problem focused and detailed exams from MACs in the states where we see our patients? New Jersey Subscriber Answer: The Medicare administrative contractor (MAC) Novitas [...]

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