DME MAC Jurisdiction A - DME Facts
- JA processes FFS Medicare DME claims for Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont
- Total Number of Fee-for-Service Beneficiaries: 7,903,475 (as of 9/30/2020)
- Total Number of Suppliers: 19,688 (as of 9/30/2020)
Full Answer
What if Medicare denies my claim?
- Your bill will be sent directly to Medicare.
- The appeal must be filed within 120 days of receiving the Medicare Summary Notice (MSN) that shows that your claim was denied.
- If you disagree with a Medicare coverage decision in the MSN, you can appeal the decision.
Which Medicare is right for me?
ith the beginning of the Medicare enrollment season, choosing the right plan is sometimes a confusing decision, so it is necessary to take your time. That is why many U.S. workers plan to spend more time reviewing their healthcare options.
What to do if Medicare denies your medical claim?
You can also take other actions to help you accomplish this:
- Reread your plan rules to ensure you are properly following them.
- Gather as much support as you can from providers or other key medical personnel to back up your claim.
- Fill out each form as carefully and exactly as possible. If necessary, ask another person to help you with your claim.
Which Am I entitled to, Medicaid or Medicare?
Medicare is a federal program that is offered to everyone 65 and over who is entitled to receive Social Security or people of any age with a permanent disability. The four part program includes: hospitalization coverage, medical insurance, privately purchased supplemental insurance, and prescription drug coverage.
What is Medicare jurisdiction?
United StatesCenters for Medicare & Medicaid Services / Jurisdiction
What are the states in jurisdiction Medicare B?
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.
What states are in Medicare jurisdiction C?
DME MAC Jurisdiction C – DME Facts JC processes FFS Medicare DME claims for Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia.
What states are in Medicare jurisdiction F?
JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming.
How many jurisdictions are there in Medicare?
Centers for Medicare and Medicaid Services (CMS) announced in 2010 plans to reduce the number of A/B Medicare Administrative Contractors (MACs) from the current numbered 15 jurisdictions to 10 alphabetical jurisdictions over the next several years.
Where is Medicare jurisdiction A?
United StatesCenters for Medicare & Medicaid Services / Jurisdiction
What Medicare jurisdiction is California?
Noridian Administrative Services LLC (NAS) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS) for Jurisdiction E.
What does CGS mean in Medicare?
Celerian Group Customer ServiceParent Company Celerian Group. Customer Service Telephone, online, myCGS portal, and CGS Medicare app. Phone Number 866-590-6727. Official Website www.cgsmedicare.com.
What Medicare jurisdiction is 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 is Medicare Mac locality?
However, the Medicare Administrative Contractors (MACs) have been allowed to process claims using what we refer to as the “locality rule”. The “locality rule” allows for when patients normally seek medical attention at a few regional hospitals on a regular basis.
What does MAC stand for Medicare?
Medicare Administrative ContractorA Medicare Administrative Contractor (MAC) is a private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B (A/B) medical claims or Durable Medical Equipment (DME) claims for Medicare Fee-For-Service (FFS) beneficiaries.
What Medicare jurisdiction is Illinois?
Jurisdiction 6National Government Services (NGS) administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction 6 which includes the State of Illinois.
Current Maps and Lists
To find out who the current A/B and DME MACs are, use these maps and lists to help you determine which MAC is of most interest to you.
DME MACs
The DME MACs process Medicare Durable Medical Equipment, Orthotics, and Prosthetics (DMEPOS) claims for a defined geographic area or "jurisdiction," servicing suppliers of DMEPOS. Learn more about the DME MAC in each jurisdiction.
