by Stephanie Davidson | Sep 30, 2026 | Action Reports
By: Stephanie Davidson, MAC Insurance Director If you’ve ever wondered why there are two different 10-digit numbers on a claim form, you’re not alone. The National Provider Identifier (NPI) system trips up new associates, seasoned owners, and...
by Stephanie Davidson | Aug 18, 2026 | MAC Matters
Here’s What You Need to Know About HHS-RADV Audits The MAC office has gotten calls regarding medical record requests from Datavant for Medicare Plus Blue patients. Datavant, formerly CIOX Health, conducts audits under the Health and Human Services-Risk Adjustment Data...
by Stephanie Davidson | Jul 8, 2026 | Action Reports
Important Dates to Remember: June 15, 2026: Site Administrator Setup and Site Creation Begins August 3, 2026: User Registration Opens September 1, 2026: New Provider Portal Scheduled to Go Live Priority Health is launching a new Provider Portal, powered by Epic, which...
by Stephanie Davidson | Jun 5, 2026 | Action Reports, Uncategorized
“Insufficient Documentation” Remains #1 Reason for Improper Payments By: Stephanie Davidson, MAC Insurance Director Data released by the Centers for Medicare and Medicaid Services (CMS) shows that the improper payment rate for chiropractic services in Medicare...
by Stephanie Davidson | May 9, 2026 | MAC Matters, MAC News, Uncategorized
Requirement Should Be Lifted Prior to the End of 2026 By: Stephanie Davidson, MAC Insurance Director Last week, UnitedHealthcare announced that they are eliminating prior authorization (PA) requirements for 30% of healthcare services that previously required...