Medicare Administrative Contractors (MACs) As of June 2019 MAC Jurisdiction Processes Part A & Part B Claims for the following states: MAC DME A Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Noridian Healthcare Solutions, LLC
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.
Where does JCJC process Medicare DME claims?
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 Total Number of Fee-for-Service Beneficiaries: 13,476,262 (as of 9/30/2020)
Where can I learn about the former contractors in this jurisdiction?
Learn about the former contractors in this jurisdiction at Archives: A/B MAC Jurisdiction H.
What is a/B MAC jurisdiction L?
Note: For Part B services, A/B MAC Jurisdiction L includes the Counties of Arlington and Fairfax (including the Cities of Fairfax and Falls Church) i n Virginia, along with the City of Alexandria in Virginia. Who were the former contractors in this jurisdiction?
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 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 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 part a B MAC jurisdictions are there?
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 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?
United StatesCenters for Medicare & Medicaid Services / Jurisdiction
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 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 is the difference between RAC and MAC?
MAC audits are powerful and intrusive procedures that have the potential to lead to serious federal charges for healthcare entities. A Recovery Audit Contractor (“RAC”) reviews claims and identifies overpayments from Medicare so that CMS and other auditors are able to prevent improper payments in the future.
What Medicare jurisdiction is va?
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.
How many MACs are there?
How Many Macs Exist? Currently, there are 12 Medicare Part A and B MACs that assist with Original Medicare (Medicare Parts A and B). Four of these MACs also process home health and hospice claims in addition to their typical Medicare Part A and Part B claims. There are also four durable medical equipment (DME) MACs.
How many jurisdictions are in the US?
In addition to the 50 states and federal district, the United States has sovereignty over 14 territories.
Is the United States a jurisdiction?
The United States is a federal republic, governed by the U.S. Constitution, containing fifty states and a federal district which elect the President and Vice President, and having other territories and possessions in its national jurisdiction.
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.
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
Who were the former contractors in this jurisdiction?
Learn about the former contractors in this jurisdiction at Archives: DME MAC Jurisdiction C.
