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Reimbursement 101 2011 - Cardinal Health

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NM <strong>Reimbursement</strong> <strong>101</strong> > A/B MACs<br />

10<br />

• Old system<br />

– Each state has a Medicare Part A (fiscal intermediary)<br />

contractor PLUS<br />

– A Medicare Part B contractor (carrier)<br />

– Commonly two different companies (contactors) for a given<br />

state<br />

• New system<br />

– Goal: One company (contractor) administers both Medicare<br />

PPart t A and d B ffor a given i jjurisdiction i di ti<br />

– Round One Procurements: Divided USA up into 15 jurisdictions<br />

– Awarded contracts for most jurisdictions<br />

– Legacy contractors (i.e. (i e original) fiscal intermediaries and<br />

carriers continue to service providers until a MAC contract is<br />

implemented<br />

© Copyright <strong>2011</strong>, <strong>Cardinal</strong> <strong>Health</strong>, Inc. or one of its subsidiaries. All rights reserved.

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