What is the DME Mac jurisdiction?
Jan 12, 2022 · A 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 …
What is a Mac Medicare Administrative Contractor?
Sep 10, 2021 · Simply click on your state where you’ll find a link to all relevant MACs. For example, if you live in Rhode Island, your Medicare Part A/B MAC is National Government Services, Inc., the MAC for jurisdiction K. This MAC also assists with home health and hospice claims. However, your DME MAC is Noridian Healthcare Solutions, LLC., the MAC for jurisdiction A. Each MAC’s …
What is a/B MAC jurisdiction L?
Jan 28, 2022 · Medicare Administrative Contractor (MAC) Access Medicare Administrative Contractor (MAC) websites from the links below. A/B MAC. DME MAC. Jurisdiction 5. Jurisdiction 6 (Processes HH+H claims) Jurisdiction 8. …
Which states does JH process FFS Medicare Part A and Part B claims?
Jan 07, 2022 · Jurisdiction List. The below year specific lists will assist suppliers in determining which Medicare contractor to bill for certain HCPCS …
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.Dec 28, 2021
What are the different Medicare jurisdictions?
CMS has already accomplished consolidating three pairs of A/B MAC contract areas (six A/B MACs) into three jurisdictions: Jurisdiction F (formerly Jurisdictions 2 and 3); Jurisdiction H (formerly Jurisdictions 4 and 7); and Jurisdiction K (formerly Jurisdictions 13 and 14).
What states are in Medicare Jurisdiction B?
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.Jun 29, 2016
What is a MAC location Medicare?
A 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.Jan 12, 2022
What Medicare jurisdiction is Massachusetts?
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.Dec 28, 2021
What is DME MAC?
A Durable Medical Equipment Medicare Administrative Contractor (DME MAC) is a private insurance company that has a contract with Medicare to process durable medical equipment (DME) claims.
Which Medicare Mac is Georgia?
MAC Contact Information and Links for Part B ResourcesMACStates CoveredCahaba Government Benefit AdministratorsJurisdiction 10: AL, GA, TNCGS Administrators, LLCJurisdiction 15: KY, OHFirst Coast Service Options, Inc.Jurisdiction 9: FL, Puerto Rico, U.S. Virgin Islands6 more rows
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 the MAC for Florida?
Welcome to First Coast Service Options, Inc. First Coast has proudly served as one of the nation's largest Medicare administrators for 50 years, and is the current Medicare Administrative Contractor (MAC) for Jurisdiction N (JN), which includes Florida, Puerto Rico and the U.S. Virgin Islands.
What jurisdiction is NGS?
* As National Government Services, Inc. (NGS) is the incumbent contractor for A/B MAC Jurisdiction K, CMS anticipates that implementation of the new contract will go smoothly, with few (if any) disruptions in service for Medicare beneficiaries and providers.Dec 28, 2021
Are MACs State specific?
CMS provides a list of MACs by state. You can also use this interactive state-specific resource. Simply click on your state where you'll find a link to all relevant MACs. For example, if you live in Rhode Island, your Medicare Part A/B MAC is National Government Services, Inc., the MAC for jurisdiction K.Sep 10, 2021
What jurisdiction is New York for Medicare?
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.
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.
What's a MAC and what do they do?
A 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.
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 DME MACs at Who are the MACs.
Relationships between MACs and Functional Contractors
MACs work with multiple functional contractors to administer the full FFS operational environment. Learn more about the relationships between the MACs and the functional contractors by viewing the diagram of MACs: The Hub of the Medicare FFS Program (PDF) and reading about what the functional contractors do at Functional Contractors Overview (PDF).
What Is a MAC?
Think of a MAC as a middleperson between you, your doctor and the Centers for Medicare & Medicaid Services (CMS). Each geographic region (also known as jurisdiction) has a specific MAC that handles the payment side of the Medicare fee-for-service program. MACs are also charged with conducting audits and educating providers.
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.
Why Are MACs Important?
MACs are important because they ensure your doctor gets paid correctly. They also create what’s called local coverage determinations (LCD) based on whether an item or service is considered reasonable and necessary. LCDs exist in the absence of a national coverage policy, and they may vary from jurisdiction to jurisdiction.
When Would I Need to Find a Specific LCD?
You might need to find an LCD if you’re filing an LCD challenge. You can do this if you have Medicare Part A, Medicare Part B (or both), and you need the item or service that’s not covered by the LCD. However, you need to file your request within six months of the date of the treating doctor’s written statement that you need the item or service.
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.
License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition
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Recent News
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Education Opportunities: Workshops, Webinars & More
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