The federal Centers for Medicare & Medicaid Services (CMS) has selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J. This jurisdiction, covering Alabama, Georgia, and Tennessee represents 7% of the national Part A/Part B claim-volume workload.
Where is Pgba located?
Columbia, South CarolinaHeadquartered in Columbia, South Carolina, and part of the Celerian Group, our more than 2,300 associates in offices in Alabama, Georgia and South Carolina create value for government and commercial customers every day.
Is Palmetto GBA the same as Medicare?
Palmetto GBA is the Railroad Retirement Board Specialty Medicare Administrative Contactor (RRB SMAC). We process Part B fee-for-service claims for Railroad Medicare beneficiaries nationwide.
Who is the Medicare contractor for Kansas?
WPS Health Solutions (WPS) has been the Medicare Administrative Contractor (MAC) for Jurisdiction 5, which includes Parts A/B for the states of Iowa, Kansas, Missouri, and Nebraska, since September 2007, J5 National since October 2012, and Jurisdiction 8, which includes Parts A/B for the states of Indiana and Michigan, ...
What Medicare jurisdiction is South Carolina?
A/B MAC Jurisdiction M (formerly known as Jurisdiction 11) – Part A and Part B Facts. JM processes FFS Medicare Part A and Part B claims for North Carolina, South Carolina, Virginia, and West Virginia.
What states are covered by Palmetto GBA?
Palmetto GBA processes Part A, fee-for-service Medicare claims for Medicare beneficiaries through home health agencies and hospices in the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and ...
What insurance is Palmetto?
Palmetto Insurance Group is a full-service employee benefit consulting and advisory firm specializing in helping businesses purchase and manage insurance for more than 20 years. We are dedicated to a no-nonsense approach to health insurance.
Who is the Medicare contractor for Illinois?
National Government ServicesNational Government Services currently administers the Medicare Part B contract for the states of Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont and Wisconsin.
Who is the Medicare contractor for Michigan?
WPS Government Health Administrators (WPS GHA) has served Medicare beneficiaries since 1966, providing over 50 years of service to the Centers for Medicare & Medicaid Services (CMS) and the Medicare program.
Who is the Medicare contractor for New York?
National Government Services (NGS) administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction K which includes the State of New York.
What states are in Medicare Jurisdiction C?
Jurisdiction C is serviced by CGS and includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, West Virginia and the US Virgin Islands.
What states are in Medicare Region B?
DME MAC Jurisdiction B - DME FactsJB processes FFS Medicare DME claims for Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.Total Number of Fee-for-Service Beneficiaries: 6,148,172 (as of 9/30/2021)Total Number of Suppliers: 16,106 (as of 9/30/2021)More items...•
Where is Medicare Jurisdiction A?
United StatesCenters for Medicare & Medicaid Services / Jurisdiction
Where is Palmetto GBA located?
About Palmetto GBA. Based in Columbia, S.C., Palmetto GBA is a leading provider of technical and administrative services for the federal government. Its principal business is providing administrative services for the Medicare program. In addition to its headquarters in South Carolina, the company also has offices in Georgia.
How many Medicare beneficiaries are in jurisdiction J?
According to CMS, Jurisdiction J includes more than 2.5 million Medicare beneficiaries, more than 52,000 physicians and 400 hospitals that serve Medicare patients. Medicare Part A helps cover fees from hospitals, skilled nursing facilities and other institutional providers.
What is CERT in Medicare?
Comprehensive Error Rate Testing (CERT) program is to measure improper payments in the Medicare fee-for-service (FFS) program. The CERT program cannot be considered a measure of fraud. Since the CERT program uses random samples to select claims, reviewers are often unable to see provider billing patterns that indicate potential fraud when making payment determinations. CERT is designed to comply with the Improper Payments Elimination and Recovery Act of 2010.
What is a Supplemental Medical Review Contractor?
The Supplemental Medical Review Contractor is a contractor that performs Medicare medical review activities as directed by CMS. This is a contract that is awarded through competitive procedures in keeping with Section 1874A of the Social Security Act. Top.
