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San Francisco Marin Medical Society Blog

Palmetto GBA Loses Medicare MAC Contract

The Centers for Medicare & Medicare Services (CMS) yesterday announced that Noridian Administrative Services (NAS) has been named the new Medicare Administrative Contractor (MAC) for Medicare Parts A and B in California, Nevada, and Hawaii, as well as the U.S. territories of American Samoa, Guam, and the Northern Mariana Islands (Jurisdiction E, previously called Jurisdiction 1).

Jurisdiction E includes over 3.5 million Medicare fee-for-service beneficiaries, 500 Medicare hospitals and 86,500 physicians. MACs process Part A and Part B claims and performs other critical Medicare operational functions, including enrolling, educating and auditing Medicare providers.

It is not yet clear whether Palmetto GBA plans to appeal the decision. If there is an appeal, the earliest the handover could take place would be mid-to-late 2014. SFMS/CMA will work with CMS and the new contractor to help minimize any disruption to physicians and patients.

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