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More new contracts awarded from ...

Posted Nov 10 2008 4:22pm

More new contracts awarded from CMS for processing claims..this one includes California..will be the single point of contact once things are rolling for both patients and providers, including hospitals and physicians....BD 

The Centers for Medicare & Medicaid Services (CMS) announced that it has awarded two contracts for the combined administration of Part A and Part B Medicare claims payment in seven states, the District of Columbia and three U.S. territories. These awards represent the fourth and fifth new Medicare Administrative Contractors (MACs) to be named by CMS as required by the Medicare Modernization Act of 2003. The MAC contracts are part of an effort to streamline the fee-for-service payment system. The two contracts announced today are among the largest, in terms of claims volume, of the 15 MACs that CMS will award.

The MACs will serve as the primary point of contact for the processing and payment of fee-for-service claims from providers, such as hospitals, nursing facilities, physicians and other practitioners. The MACs were selected in open competition under federal procurement rules.

As MAC contractors, Highmark Medicare Services and Palmetto GBA will immediately begin implementation activities. Highmark Medicare Services will assume full responsibility for the claims processing work in its jurisdiction no later than September 2008. Palmetto GBA will assume full responsibility for the work in its jurisdiction no later than June 2008.

CMS Awards Two Contracts To Process And Pay Medicare Part A And Part B Claims In 7 States And D.C., USA

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