Medicare Blog

who is the medicare mac for nj

by Mr. Dominic Kozey Published 2 years ago Updated 1 year ago
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What states are covered by Mac a and B?

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

What states do Macs operate in 2019?

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

How many a/B Macs process HH+H claims?

Four of the A/B MACs also process HH+H claims in addition to their typical Medicare Part A and Part B claims. Please note that the four HH+H areas do not coincide with the jurisdictional areas covered by these four A/B MACs.

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What is my Medicare Mac?

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.

Who are the Medicare intermediaries?

The Medicare fiscal intermediaries (FIs) are private insurance companies that serve as the federal government's agents in the administration of the Medicare program, including the payment of claims.

What Medicare jurisdiction is New Jersey?

Below is a list of each DME MAC and the states and territories they service. 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.

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.

What organization handles Medicare claims?

The federal agency that oversees CMS, which administers programs for protecting the health of all Americans, including Medicare, the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP).

What is noridian Mac?

Since CMS opened its doors in 1966, Noridian has been a trusted Medicare Administrative Contractor (MAC), evolving alongside the agency through the years. Today, Noridian has nationwide, multiyear contracts serviced by employees throughout the United States.

What states are in Medicare jurisdiction D?

DME MAC Jurisdiction D – DME Facts JD processes FFS Medicare DME claims for Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington, and Wyoming.

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 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 does being a Mac mean?

Slang. fellow. used as a general term of address for a man or boy.

What does Mac stand for?

1. Short for medium access control, or MAC address. Known as a physical address and hardware address whose number is uniquely formatted in hexadecimal format and given to each computer or network device on a computer network.

What is a Mac used for?

Macs are capable of all the same general functions as PCs, such as word processing, playing music and videos, games, accessing the internet, and more. Most features require different programs than those on a PC, however. Apple Macs have a number of advantages over PCs.

What is a CMS intermediary?

A fiscal intermediary, sometimes called a Medicare Administrative Contractor, works with the federal government to help administer certain Medicare benefits and services. Learn more about how these companies work with federal programs like Medicare and Medicaid.

What are fiscal intermediaries?

A Fiscal Intermediary (FI) is an organization that assists you to implement your Individual Support Agreement and to manage financial accountability and employer responsibilities. Fiscal Intermediaries are not service providers.

Is Palmetto GBA a fiscal intermediary?

Palmetto GBA is the fiscal intermediary for Part A Medicare Administrative Contractor.

What is a fiscal intermediary healthcare?

A fiscal intermediary is a private company contracted by Medicare to pay bills – such as hospital expenses – for Medicare Part A and Part B.

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 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.

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