Medicare Blog

what jurisdiction is philadelphia medicare

by Newton Hintz Published 2 years ago Updated 1 year ago
image

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.

Which states does JF process FFS Medicare Part A and Part B claims?

Who were the former contractors in this jurisdiction? JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming Who were the former contractors in this jurisdiction?

What is the current Physician Fee Schedule locality structure?

The current Physician Fee Schedule (PFS) locality structure was implemented in 2017 in accordance with the Protecting Access to Medicare Act of 2014 (PAMA 2014).

image

What jurisdiction is Pennsylvania in for Medicare?

Jurisdiction 12MAC Summary TableCurrent MAC JurisdictionsNew MAC JurisdictionsStatesJurisdiction 11 is now MMNC, SC, VA, WVJurisdiction 12 is now LLDE, DC, MD, NJ, PAJurisdiction 13 is now KKCT, NY12 more rows

What states are in jurisdiction C for Medicare?

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.

What states are in Medicare Region A?

DME MAC Jurisdiction A - DME FactsJA 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: 7,649,029 (as of 9/30/2021)More items...•

What is Medicare Jurisdiction A?

United StatesCenters for Medicare & Medicaid Services / Jurisdiction

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 is Medicare jurisdiction F?

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

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 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.

Which 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 a B Mac A?

A/B MACs. A/B MACs process Medicare Part A and Medicare Part B claims for a defined geographic area or “jurisdiction,” servicing institutional providers, physicians, practitioners, and suppliers. Learn more about A/B MACs at Who are the MACs.

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

Who were the former contractors in this jurisdiction?

Learn about the former contractors in this jurisdiction at Archives: DME MAC Jurisdiction A.

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.

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.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9