Posts Tagged ‘A/B MAC’

Carriers and Part A and Part B Medicare Administrative Contractors (A/B MACs) are creating lists and checking them twice, but they’re not looking for who’s been naughty or nice. On these lists are X-ray suppliers currently billing Medicare who are not in the Provider Enrollment, Chain, and Ownership System (PECOS). Read more »

A recent review conducted by Trailblazer, the A/B Medicare Administrative Contractor (MAC) for jurisdiction four (J4), shows hospitals are ultimately confused as to where to draw the line between inpatient and outpatient status. Even more recent editorial changes to the Medicare Claims Processing Manual may help hospitals clarify the terms “observation” and “admission.” Read more »

Part of the transition to Part A and Part B Medicare Administrative Contractors (A/B MACs) involves the Centers for Medicare & Medicaid Services (CMS) assigning new workload numbers. CMS Transmittal 463, Change Request (CR) 6406, issued March 24, conveys new Medicare contractor workload numbers for states in jurisdiction 14 to go into effect as early as May 2. Read more »

National Heritage Insurance Corp. (NHIC) is the newest Part A/Part B Medicare Administrative Contractor (A/B MAC) to be named by the Centers for Medicare & Medicaid Services (CMS).

CMS has awarded NHIC a five-year, cost-plus-award-fee contract to administer Part A and Part B Medicare claims payment in Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont — also known as jurisdiction 14. The contract is reportedly worth about $176 million, according to a press release issued by CMS on Nov. 19. Read more »