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Medicare Compliance & Reimbursement

MACs:

CMS Names New Medical Administrative Contractors

Published on Mon Oct 15, 2007

Make sure your new MAC is working to earn its bonuses

Say goodbye to your carriers in seven states and the District of Columbia.

The Centers for Medicare & Medicaid Services has named two new Medical Administrative Contractors, which process both Part A and Part B claims. By Sept. 2008, Highmark Medicare Services will be the MAC for Delaware, Maryland, New Jersey, Pennsylvania and DC. Palmetto GBA will tackle California, Hawaii, Nevada, American Samoa, Guam and the Northern Mariana Islands by next June.

Medicare will pay Highmark and Palmetto bonuses based on their ability to meet or exceed CMS' performance requirements, including customer service, payment accuracy, provider education and cost savings. CMS wants to have 15 MACs covering the entire nation by 2011.
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