Reimbursement 101 2011 - Cardinal Health
Reimbursement 101 2011 - Cardinal Health
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.