Medicare Blog

what is medicare jurisdiction e

by Daisy Runolfsdottir Published 2 years ago Updated 2 years ago
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Jurisdiction E includes over 3.5 million Medicare fee-for-service beneficiaries. The Jurisdiction E A/B MAC will serve approximately 500 Medicare hospitals and 86,500 physicians. This jurisdiction comprises approximately 8.9% of the overall national Medicare fee-for-service Part A and Part B claims volume. The new Jurisdiction E A/B MAC contract includes a base year and four option years,

Jurisdiction E - Medicare Part B
California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands.

Full Answer

Does the jurisdiction list include codes not payable by Medicare?

NOTE: The jurisdiction list includes codes that are not payable by Medicare. Please consult the Medicare contractor in whose jurisdiction a claim would be filed in order to determine coverage under Medicare.

What states are included in the DME jurisdiction?

DME Jurisdiction D Am. Samoa, Guam, N. Mariana Is., AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, WY Contact Us Help Tools

Is the information on the Noridian Medicare web site copyrighted?

Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes.

Where does JE process FFS Medicare Part A and Part B claims?

Who were the former contractors in this jurisdiction? JE processes FFS Medicare Part A and Part B claims for American Samoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands Who were the former contractors in this jurisdiction?

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What is Medicare jurisdiction F?

Jurisdiction F - Medicare Part B Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming.

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.

What states are in Medicare jurisdiction K?

A/B MAC Jurisdiction K (formerly known as Jurisdiction 13 and 14) – Part A and Part B Facts. JK processes FFS Medicare Part A and Part B claims for Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont.

What states are under noridian?

Jurisdiction A DME MAC is administered by Noridian for the states of Connecticut, Delaware, Massachusetts, Maine, Maryland, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, and District of Columbia.

What are Medicare regions?

CMS Regional OfficesRegionRegional Office LocationContactRegion [email protected] 2New [email protected] [email protected] [email protected] more rows•Dec 1, 2021

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 states are in jurisdiction A?

Jurisdiction A is serviced by Noridian Healthcare Solutions and includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.

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...•

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 is Medicare noridian?

The Noridian Medicare Portal (NMP) is a free and secure, internet-based portal that allows users access to beneficiary and claim information. The portal is available for all Part A, Part B and Durable Medical Equipment (DME) users in the Jurisdictions of JA, JD, JE and JF.

Is noridian the same as Medicare?

Noridian began operating in 1966 as a division of Mutual Insurance Company. At that time, its business operations consisted solely of administering the federal Medicare program in one state. Noridian now administers the Medicare program as a Medicare Administrative Contractor (MAC) for Jurisdictions E and F.

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.

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.

Is CMS a government system?

Warning: you are accessing an information system that may be a U.S. Government information system. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Users must adhere to CMS Information Security Policies, Standards, and Procedures. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. The use of the information system establishes user's consent to any and all monitoring and recording of their activities.

Is Noridian Medicare copyrighted?

Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes.

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