Chattanooga, TN 37402-0061http://cgsmedicare.com/866-270-4909Accepts esMD transactions, Medical Review Jurisdiction C The .gov means its official. on the guidance repository, except to establish historical facts. We are in the process of retroactively making some documents accessible. We contract with the Centers for Medicare & Medicaid Services (CMS) to provide quality Medicare administrative services to the beneficiaries in Florida, Puerto Rico and the U.S. Virgin Islands and the health care providers who serve them. Services furnished on a ship in a U.S. port or within 6 hours of when the ship arrived at or departed from a U.S. port are furnished inside the U.S. ITH, There are three situations when Medicare may pay for certain types of health care services rendered in a foreign hospital (a hospital outside the U.S.): E WITH YOUR CLAIM. Jurisdiction 13 P.O. https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List, Region 3 Medicare RAC DISCLAIMER: The contents of this database lack the force and effect of law, except as Recovery Auditors, are tasked with identifying and recovering Medicare overpayments and identifying underpayments. The page could not be loaded. If you would like to extend your session, you may select the Continue Button. Medicare Administrative Contractors | Guidance Portal - HHS.gov Sign up now, and you'll receive automatic email notifications whenever urgent or critical Medicare information is posted to. SEND ONLY THE COMPLETED FORM TO YOUR MEDICARE ADMINISTRATIVE CONTRACTOR Include a copy of the itemized bill and any supporting documents. Within the state dropdown list, you can also select to narrow your search by CMS Region. Box 6727 1 Cameron Hill Cir STE 0061 Mailing Address: Jurisdiction E, Medical Review Jurisdiction D We are authorized by the Centers for Medicare & Medicaid Services to ask you for information needed in the administration of the Medicare program. 532 Riverside Avenue DME- Written Inquiries HHS is committed to making its websites and documents accessible to the widest possible audience, There are two main types of Medicare administrative contractors (MAC): A/B MACs, who handle Medicare Part A and Part B claims and Medicare appeals for inpatient and outpatient care and services, as well as hospice and home health care. incorporated into a contract. You can use this website to access their contact information including emails, phone numbers and websites. Note that the four HH+H areas do not coincide with the jurisdictional areas covered by these four A/B MACs. "JavaScript" disabled. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Whether youre a new or a seasoned Medicare provider, it is sometimes difficult to find your way through the twists and turns of the dynamic Medicare environment. Privately Owned Vehicle Mileage Rates Privately Owned Vehicle (POV) Mileage Reimbursement Rates GSA has adjusted all POV mileage reimbursement rates effective January 1, 2023. P.O. Faxgate Correspondence: 803-462-2215Accepts esMD transactions, Medical Review Jurisdiction D Box 6722 Failure to furnish any other information, such as name or Medicare number, would delay payment of the claim. Box 100238 Noridian Healthcare Solutions, LLC Columbia, SC 29203http://www.palmettogba.com803-735-1034Accepts esMD transactions, Part A and Part B Medicare Administrative Contractor (A/B MAC) CGS Administrators, LLC See the latest version of the CMD Public Directory . Cotiviti, LLC No Part B Medicare benefits may be paid unless this form is received as required by existing law and regulations (20 CFR 422.510). The .gov means its official. Service Health Insurance Corporation (WPS)http://www.wpsgha.com P.O. Have a witness sign his/her name next to the X and complete the section below. Mechanicsburg PA 17055-1840http://www.novitas-solutions.com877-235-8073Accepts esMD transactions, Part A and Part B Medicare Administrative Contractor (A/B MAC) Share sensitive information only on official, secure websites. 532 Riverside Avenue MAC NGS (National Government Services} Official websites use .govA 877-235-8073Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MACS) You will find them in the Billing & Coding Articles. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. DME- Written Inquiries TTY users should call 1-877-486-2048. MACs process medical claims for Medicare as well as publish Local Coverage Determinations (LCDs) and Local Coverage Articles. Fax: (203) 529-2995RACInfo@Cotiviti.comhttp://www.cotiviti.com/rac If you dont find the Article you are looking for, contact your MAC. In most situations, your physician, other practitioner or supplier will submit your claim to Medicare, if they do not, you can submit a claim. means youve safely connected to the .gov website. Contractor: National Government Services, Inc. A/B The report will only include MACs that covered the selected state. It is important to note the error rate is not a "fraud rate" but simply a measurement of payments made that did not meet statutory, regulatory or administrative requirements. Youre in the U.S. when you have a medical emergency and the foreign hospital is closer than the nearest U.S. hospital that can treat your illness or injury. MACs serve as the primary avenue of communication between health care providers and the CMS Medicare Fee-For-Service program. TTY: 866-786-7155Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MACS) A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Hingham, MA 02044http://www.medicarenhic.com Currently there are 12 A/B MACs and 4 DME MACs in the program that process Medicare FFS claims for nearly 56 percent of the total Medicare beneficiary population, or 36 million Medicare FFS beneficiaries. Provider Contact Center: 877-567-7271Accepts esMD transactions, Part B PCC P.O. It is very important the provider who treated you be identified. Chattanooga, TN 37402-0061http://cgsmedicare.com Enter the code you're looking for in the "Enter keyword, code, or document ID" box. The National Provider Enrollment DMEPOS East and West contractors now process all Medicare enrollment applications for DMEPOS suppliers. Please contact the Medicare Administrative Contractor (MAC) who owns the document. The UPIC contracts operate in five (5) separate geographical jurisdictions in the United States and combine and integrate functions previously performed by the Zone Program Integrity Contractor (ZPIC), Program Safeguard Contractor (PSC) and Medicaid Integrity Contractor (MIC) contracts. Box 6727 Jurisdiction 5: Fargo, ND 58108-6722 J5 processes FFS Medicare Part A and Part B claims for Iowa, Kansas, Missouri, and Nebraska. 866-270-4909 (customer service) 888-248-6950Accepts esMD transactions, SafeGuard Services LLC (SGS)http://www.safeguard-servicesllc.com/, Medical Review: Jurisdiction A DME AG-620 Indianapolis, IN 46207-7108http://www.ngsmedicare.com Manage Your Enrollment | CMS - Centers for Medicare CGS Administrators, LLC CGS Administrators, LLC The term outside the U.S. means anywhere other than the 50 states of the U.S., When you submit your own claim to Medicare, complete the entire form. lock Medicare Administrative Contractor Liaison jobs - Indeed Nashville, TN 37202Ngs.cedihelpdesk@wellpoint.comhttp://cgsmedicare.com/jc/index.html Hingham, MA 02043-9146http://www.medicarenhic.com/dme/ Everything First Coast does is guided by our companys values: A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Accepts esMD transactions, Medical Review Jurisdiction C or San Angelo, TX 76904 Jurisdiction 13 Medicare may pay for seasonal influenza and pneumococcal vaccinations. Official websites use .govA Official websites use .govA The term outside the U.S. means anywhere other than the 50 states of the U.S., the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. Contractor: Palmetto GBA, LLC. For this supplementary claims processing information we rely on other CMS publications, namely Change Requests (CR) Transmittals and inclusions in the Medicare Fee-For-Service Claims Processing Manual (CPM). NAS (Noridian Administrative Services LLC) If you submit a claim for covered services furnished by a physician or other supplier who is not enrolled with the Medicare program, your claim may be denied. P.O. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Review Contractor Directory - Interactive Map, Medicare Fee-for-Service Compliance Programs, Medicare Fee for Service Recovery Audit Program, Prior Authorization and Pre-Claim Review Initiatives, Documentation Requirement Lookup Service Initiative, AB Medicare Administrative Contractor (MAC), Durable Medical Equipment Prosthetics - Medicare Administrative Contractor (DME MAC), Unified Program Integrity Contractors (UPICs), Durable Medical Equipment Medicare Administrative Contractor (DME MAC), Unfied Program Integrity Contractors (UPICs), Durable Medical Equipment - Medicare Administrative Contractor (DME MAC), Northeast Unified Program Integrity Contractor (NE UPIC), http://www.nciinc.com/about-us/advancemed/, Unified Program Integrity Contractors (UPIC), Part A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction 15 Home Health and Hospice Services. lock 14643 Dallas Parkway Suite 400 Section 1877(a)(3) of the Social Security Act provides criminal penalties for withholding this information. Medicare Enrollment Assistance and Contacts | Guidance Portal Jurisdiction 14 It is also used to decide if the services and supplies you received are covered by Medicare and to insure that proper payment is made. P.O. Accepts esMD transactions, Part A and Part B Medicare Administrative Contractor (A/B MAC) 877-702-0990 Specifically, the UPICs perform integrity related activities associated with Medicare Parts A, B, Durable Medical Equipment (DME), Home Health and Hospice (HH+H), Medicaid, and the Medicare-Medicaid data match program (Medi-Medi). Jurisdiction F NGS Shelbyvillehttp://www.ngsmedicare.com 866-270-4909Accepts esMD transactions, Medical Review: Jurisdiction A DME P.O. Heres how you know. Implementation for this MAC is in progress. Washington, D.C. 20201 WebContact your Medicare Administrative Contractor (MAC) (PDF) to see what information you should include in your opt-out affidavit and private contract. Box 6722 Box 1000 The information we obtain to complete your Medicare claim is used to identify you and to determine your eligibility. 877-702-0990 Contractor: Novitas Solutions, Inc. JJ processes FFS Medicare Part A and Part B claims for Alabama, Georgia, and Tennessee. Try using the MCD Search to find what you're looking for. 803-735-1034Accepts esMD transactions, Medical Review: Jurisdiction B DME Sign up to get the latest information about your choice of CMS topics. Box 20010 Medicare Administrative Contractors (MACs) process all Medicare enrollment applications for Part A and B providers and suppliers. Official websites use .govA ) TTY: 888-897-7523Accepts esMD transactions. Reference the Medicare Administrative Contractor Address Table for the correct address to mail your claim form. P.O. 866-270-4909, Medical Review: Jurisdiction B DME Sort by: relevance - date. 866-238-9650 (IVR - interactive voice response) HMS Federal Solutions NAS (Noridian Administrative Services LLC) Noridian Healthcare Solutions,LLC Novitas Camp Hillhttp://www.novitas-solutions.com 877-908-8431Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MAC) National Government Services, Inc. 1 Cameron Hill Circle STE 0061 Contractor: Noridian Healthcare Solutions, LLC. (You may have to accept the AMA License Agreement.) F: 1-325-224-6710https://www.PerformantRAC.cominfo@performantRAC.com 866-419-9458Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MAC) JH processes FFS Medicare Part A and Part B claims for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas. 7500 Security Boulevard, Baltimore, MD 21244, Since Medicares inception in 1966, private health care insurers have processed medical claims for Medicare beneficiaries. ( You can filter your report by using the three criteria in the upper left. Box 1000 Sign up to get the latest information about your choice of CMS topics. Jurisdiction E Noridian Healthcare Solutions,LLC: They may request medical records from you, as they perform business on behalf of CMS. 866-419-9458Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MAC) Medicare Administrative Contractors | CMS Fargo ND, 58108dme@noridian.comAccepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MACS) Secure .gov websites use HTTPSA The Plan Program Integrity (PPI) Medicare Drug Integrity Contractor (MEDIC) is a contractor responsible for the Medicare Advantage (Part C) and Prescription Drug Plan (Part D) proactive data analysis , audits, generation of risk assessment reports, and plan sponsor education and outreach in all 50 states, the District of Columbia, and U.S. Basics of Medicare Administrative Contractor (MAC) Many times a bill will show the names of several doctors or suppliers. TTY USERS SHOULD CALL 1-877-486-2048. P.O. Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. Territories. U.S. Department of Health & Human Services MAC Websites, Secure Internet Portals, & Electronic Mailing Lists By default, the report includes all MAC contract types, but you can change the filter to include one or more specific types. Contractor: National Government Services, Inc. J8 processes FFS Medicare Part A and Part B claims for Indiana and Michigan. (866) 886-2658, (410) 770-3814 866-830-3455 866-270-4909Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MAC) CGS Administrators, LLC Medicare Administrative Contractors (MACs) process all Medicare enrollment applications for Part A and B providers and suppliers. F: (702) 240-5517https://racinfo.hms.com/racinfo@emailhms.com, UPIC Western Jurisdiction (UPICW) Cotiviti, LLC Jurisdiction 5: First Coast also performs financial management functions for CMS that help ensure the appropriateness of the Medicare benefit payments we issue. Faxgate Correspondence: (803) 462-2215Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MAC) Box 9146 Box 6727 SGS Suite 200 Learn more about the MACs. 3450 Lakeside Drive Medical Review PO Box 3385 Secure .gov websites use HTTPSA In most situations, your supplier of DMEPOS will submit your claim to Medicare, if they do not, you can submit a claim for an item or services furnished by this supplier. Indianapolis, IN 46207-7108http://www.ngsmedicare.com/ If you still do not know the address of your Medicare contractor, call 1-800-MEDICARE (1-800-633-4227). Suite 6125 866-419-9458Accepts esMD transactions, Part A and Part B Medicare Administrative Contractors (A/B MACS) DME- Written Inquiries Effective Nov. 7, 2022, the National Supplier Clearinghouse no longer processes enrollment applications for DMEPOS suppliers. Chattanooga, TN 37402-0061http://cgsmedicare.com Four of the A/B MACs also process HH+H claims in addition to their typical Medicare Part A and Part B claims. TTY users should call 1-877-486-2048. Noridian Healthcare Solutions, LLC However, failure to furnish information regarding the medical services rendered or the amount charged would prevent payment of the claim. The CMS Regions are broken out by state as follows: You can sort your report by using the Sort By feature in the upper right. If the claim form has incomplete or invalid information, the Medicare contractor will return the claim along with a letter to you clearly stating what information is missing or invalid. Provider Contact Center: 877-567-7271Accepts esMD transactions, Region 4 Medicare RAC TTY users should call 1-877-486-2048. Jurisdiction 15 Home Health and Hospice Services 866-270-4909, Medical Review Jurisdiction D #medicalbilling #medicalcoding #healthcare #physician #medicare. Have questions about your enrollment? Medicare Administrative Contractors (MACs) regionally manage policy and payment related to reimbursement and act as the fiscal intermediary for Medicare. Originally these entities were known as Part A Fiscal Intermediaries (FI) and Part B carriers. .gov Mechanicsburg PA 17055-1840www.novitas-solutions.com Implementation for this MAC is in progress. To reduce your out-of-pocket expenses, Medicare beneficiaries should always obtain medical care from physicians and other suppliers who are enrolled in the Medicare program.
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