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Medicare Compliance & Reimbursement

Industry Note:

Top Claims Issue for MAC — Too Many Claims Under Medical Review

If you’re wondering what’s taking your claim so long to process, it may be stuck in a claims-review log jam. According to Medicare Administrative Contractor (MAC) Palmetto GBA, the MAC’s top processing issue: too many claims for medical review. The problem titled “High Volume of Pending Claims Requiring Medical Review” has been ongoing since October, the MAC suggest. “Palmetto GBA [...]