Collaborative patient care is a provider partnership

The goal of the A/B MAC Outreach & Education Task Force is to ensure consistent communication and education to reduce the Medicare Part A and Part B error rates.

As a patient’s treating physician or non-physician practitioner, you may order, refer and/or give health care services for your patient in partnership with other providers. Understanding the applicable Medicare coverage criteria (for example, medical necessity) and documentation guidelines for those services is extremely important for the accurate and timely processing and payment of both your claims and the claims of other entities, including physicians, other health care providers and suppliers who give services for your patient.

The MLN Fact Sheet Collaborative Patient Care is a Provider Partnership provides additional guidance on documentation supporting medical necessity and helpful resources to keep you current on these and other guidelines.