Cms to Provide Healthcare Review Contractorsw With Access to
The Review Contractor Directory - Interactive Map allows you to access country-specific CMS contractor contact information. You lot may receive correspondence from ane or several of these contractors in your state. They may request medical records from you, as they perform business organization on behalf of CMS. Yous can utilise this website to access their contact information including emails, phone numbers and websites.
Alaska
| Alaska | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Prosthetics - Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Unfied Plan Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Summit
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O Box 6727 Fargo ND, 58108 dme@noridian.com http://world wide web.noridianmedicare.com 877-320-0390 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Office A and Function B Medicare Authoritative Contractors (A/B MACS) Jurisdiction F Noridian Healthcare Solutions, LLC PO Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
Tiptop
American Samoa
| American Samoa | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Abode Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Accost: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Function A and Part B Medicare Authoritative Contractor (A/B MAC) AG-905 17 Engineering Circle Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Elevation
Arizona
| Arizona | |
|---|---|
| AB Medicare Authoritative Contractor (MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment - Medicare Authoritative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Indian Wellness | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Dwelling Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Recovery Inspect Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Accost: (410) 770-3814 |
Pinnacle
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Authoritative Contractor (A/B MAC) |
Top
California
| California | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Accost: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Authoritative Contractor (A/B MAC) |
Elevation
Delaware
| Delaware | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment - Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Dwelling house Health and Hospice (HH+H) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Railroad Retirement board (RRB) | |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Northeast Unified Program Integrity Contractor (NE UPIC) | SafeGuard Services LLC (SGS) Mailing Address: (855) 235-4911 |
Meridian
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME |
| Medicare Authoritative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractor (A/B MAC) |
Pinnacle
District of Columbia
| Delaware | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment - Medicare Administrative Contractor (DME MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Railroad Retirement board (RRB) | |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Northeast Unified Program Integrity Contractor (NE UPIC) | SafeGuard Services LLC (SGS) Mailing Address: (855) 235-4911 |
Summit
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Jurisdiction A DME |
| Medicare Administrative Contractor (MAC) | Function A and Part B Medicare Administrative Contractor (A/B MAC) Function A and Part B Medicare Administrative Contractor (A/B MAC) |
Top
Guam
| Guam | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region v National DME/HHH |
| Unified Plan Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) |
Height
Hawaii
| Hawaii | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment - Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Height
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D Noridian Healthcare Solutions, LLC P.O. Box 6727 Fargo ND, 58108 dme@noridian.com Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Part A and Office B Medicare Administrative Contractor (A/B MAC) Jurisdiction Due east Noridian Healthcare Solutions, LLC: AG-905 17 Technology Circle Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Tiptop
Idaho
| Idaho | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Indian Health | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region four Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Office A and Part B Medicare Authoritative Contractor (A/B MAC) |
Top
Maryland
| Maryland | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Wellness and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Northeast Unified Program Integrity Contractor (NE UPIC) | SafeGuard Services LLC (SGS) Mailing Address: (855) 235-4911 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME |
| Medicare Administrative Contractor (MAC) | Part A and Role B Medicare Administrative Contractor (A/B MAC) Function A and Part B Medicare Administrative Contractor (A/B MAC) |
Top
Montana
| Montana | |
|---|---|
| AB Medicare Authoritative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Domicile Wellness and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region iv Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D NAS |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MACS) |
Top
Nevada
| Nevada | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Lath (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Wellness | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Wellness and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Inspect Contractors (RACs) | Region iv Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Accost: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Function A and Part B Medicare Administrative Contractor (A/B MAC) Jurisdiction East Noridian Healthcare Solutions, LLC P.O. Box 1091 Augusta, GA 30903-1091 http://www.palmettogba.com IVR: 866-931-3901 Provider Contact Heart: 866-931-3901 Accepts esMD transactions |
Summit
North Dakota
| North Dakota | |
|---|---|
| AB Medicare Authoritative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Abode Wellness and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Acme
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Role B Medicare Administrative Contractors (A/B MACS) |
Top
Pennsylvania
| Pennsylvania | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Inspect Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Northeast Unified Program Integrity Contractor (NE UPIC) | SafeGuard Services LLC (SGS) Mailing Address: (855) 235-4911 |
Superlative
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review: Jurisdiction A DME |
| Medicare Administrative Contractor (MAC) | Part A and Role B Medicare Administrative Contractors (A/B MAC) Function A and Part B Medicare Authoritative Contractors (A/B MACS) |
Top
Southward Dakota
| South Dakota | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Wellness and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Health | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Unified Programme Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Acme
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Role A and Function B Medicare Administrative Contractors (A/B MAC) |
Top
Utah
| Utah | |
|---|---|
| AB Medicare Authoritative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Abode Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Wellness | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region iv Medicare RAC Region v National DME/HHH |
| Unified Programme Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Accost: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Office B Medicare Administrative Contractors (A/B MAC) |
Top
Virginia
| Virginia | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Dwelling house Wellness and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region three Medicare RAC Region v National DME/HHH |
| Unified Programme Integrity Contractors (UPICs) | SE UPIC Mailing Address: (954) 988-2851 |
| Northeast Unified Program Integrity Contractor (NE UPIC) | SafeGuard Services LLC (SGS) Mailing Address: (855) 235-4911 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction C |
| Medicare Administrative Contractor (MAC) | Part A and Role B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Top
Washington
| Washington | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Board (RRB) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Inspect Contractors (RACs) | Region 4 Medicare RAC Region v National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Accost: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Part A and Role B Medicare Administrative Contractors (A/B MACS) |
Top
Wyoming
| Wyoming | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Railroad Retirement Lath (RRB) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region iv Medicare RAC Region 5 National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Summit
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Function A and Role B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Acme
CMS Divisions Responsible for Contractors
| Supplemental Medical Review Contractor (SMRC) | |
|---|---|
| All of the U.s. of America | Noridian Healthcare Solutions, LLC 900 42nd St S PO Box 6711 Fargo, ND 58103 833-860-4133 https://world wide web.noridiansmrc.com/ Accepts esMD transactions |
Summit
| Plan Programme Integrity MEDIC (PPI MEDIC) | |
|---|---|
| All l States | PPI MEDIC Corporate Headquarters: Qlarant 28464 Marlboro Avenue Easton, MD 21601 410-770-8583 Report Fraud, Waste or Abuse: ane-877-7SAFE-RX www.qlarant.com |
Height
| Investigations MEDIC (I-MEDIC) | |
|---|---|
| All 50 States | Qlarant 28464 Marlboro Artery Easton, MD 21601 410-770-8583 Study Fraud, Waste material or Corruption: 1-877-7SAFE-RX www.qlarant.com |
Top
| Division of Prescription Drug Audits (DPDA) | |
|---|---|
| All l States | The Division of Prescription Drug Audits (DPDA) serves as the focal point for Fraud, Waste, and Abuse oversight of Medicare Advantage and Prescription Drug Plans. DPDA also performs oversight of the PPI MEDIC and the Role D RAC. |
| State Betoken of Contact Comprehensive Error Rate Testing (CERT) | |
|---|---|
| All 50 States | E-mail: cert@cms.hhs.gov Website: /cert CERT Review Contractor (RC) - NCI Information Systems, Inc. CERT Statistical Contractor (SC) - The Lewin Group, Inc. Accepts esMD transactions |
Acme
| State Betoken of Contact Payment Mistake Charge per unit Measurement (PERM) | |
|---|---|
| All fifty States | E-Mail: permproviders@cms.hhs.gov Website: /perm PERM Statistical Contractor (SC) - The Lewin Group PERM Review Contractor (RC) - A+ Government Solutions Accepts esMD transactions |
Summit
| Division of Compliance, Projects and Demonstrations (DCPD) | |
|---|---|
| All 50 States | To assure the integrity of Medicare Trust Fund dollars through programme integrity and compliance efforts by actively seeking out suspected Medicare plan vulnerabilities through a variety of methods, assessing scope and severity of risks, and working collaboratively within and exterior CMS to develop, help implement, and monitor cosmetic actions. |
Top
| Recovery Inspect Contractors (RACs) | |
|---|---|
| All 50 States | The RACs detect and correct by improper payments and so that CMS and Carriers, FIs, and MACs tin can implement actions that will prevent time to come improper payments:
|
Top
| Medical Review | |
|---|---|
| All 50 States | The drove of data and clinical review of medical records past Medicare Authoritative Contractors to ensure that payment is fabricated merely for services that meet the Medicare coverage, coding and medical necessity requirements. |
Top
| Plan Program Integrity MEDIC (PPI MEDIC) | |
|---|---|
| All 50 States | PPI MEDIC Corporate Headquarters: Qlarant 28464 Marlboro Avenue Easton, Doc 21601 410-770-8583 Report Fraud, Waste or Abuse: 1-877-7SAFE-RX www.qlarant.com |
Pinnacle
| Investigations MEDIC (I-MEDIC) | |
|---|---|
| All 50 States | Qlarant 28464 Marlboro Avenue Easton, MD 21601 410-770-8583 Report Fraud, Waste or Corruption: 1-877-7SAFE-RX world wide web.qlarant.com |
Top
| Division of Prescription Drug Audits (DPDA) | |
|---|---|
| All 50 States | The Division of Prescription Drug Audits (DPDA) serves every bit the focal indicate for Fraud, Waste, and Abuse oversight of Medicare Advantage and Prescription Drug Plans. DPDA likewise performs oversight of the PPI MEDIC and the Part D RAC. |
Meridian
Definition of Contractors
| CERT | Comprehensive Mistake Rate Testing (CERT) program is to measure improper payments in the Medicare fee-for-service (FFS) program. The CERT program cannot be considered a mensurate of fraud. Since the CERT program uses random samples to select claims, reviewers are often unable to run into provider billing patterns that indicate potential fraud when making payment determinations. CERT is designed to comply with the Improper Payments Emptying and Recovery Act of 2010. |
|---|
Top
| DME MAC | Durable Medical Equipment - Medicare Administrative Contractor is a specialty MAC whose contract is awarded through competitive procedures and which provides for the processing of Medicare claims for durable medical equipment, prosthetics, orthotics, and supplies in keeping with 42 CFR 421.210. |
|---|
Acme
| HHH | Habitation Wellness and Hospice |
|---|
Top
| IH | Indian Wellness |
|---|
Meridian
| MAC | Medicare Authoritative Contractor is a contractor that performs Medicare fee-for-service claims administration services that is awarded a contract through competitive procedures in keeping with Section 1874A of the Social Security Act. |
|---|
Top
| PART D RAC | The Part D Recovery Inspect Contractor (RAC) is a contractor that performs data assay on Prescription Drug Events (PDE) submitted past Office D plan sponsors in order to notice improper payments. The RAC is paid a contingency fee for amounts recovered. |
|---|
Elevation
| PERM | The Payment Fault Rate Measurement (PERM) program measures improper payments in Medicaid and CHIP and produces error rates for each programme. The error rates are based on reviews of the fee-for-service (FFS), managed care, and eligibility components of Medicaid and Bit in the financial yr (FY) nether review. Information technology is of import to annotation the error rate is not a "fraud rate" but simply a measurement of payments fabricated that did non meet statutory, regulatory or administrative requirements. |
|---|
Top
| Recovery Auditor(s) | Recovery Auditors, are tasked with identifying and recovering Medicare overpayments and identifying underpayments. |
|---|
Top
| RHHI | Regional Home Wellness and Hospice Intermediary |
|---|
Top
| RRB | Railroad Retirement Board |
|---|
Superlative
| SMRC | The Supplemental Medical Review Contractor is a contractor that performs Medicare medical review activities equally directed by CMS. This is a contract that is awarded through competitive procedures in keeping with Department 1874A of the Social Security Act. |
|---|
Top
| UPIC | The Unified Program Integrity Contractors (UPICs) perform fraud, waste matter, and corruption detection, deterrence and prevention activities for Medicare and Medicaid claims processed in the United States. Specifically, the UPIC's perform integrity related activities associated with Medicare Parts A, B, Durable Medical Equipment (DME), Home Health and Hospice (HH+H), Medicaid, and the Medicare-Medicaid data match program (Medi-Medi). The UPIC contracts operate in v (5) divide geographical jurisdictions in the United States and combine and integrate functions previously performed by the Zone Program Integrity Contractor (ZPIC), Program Safeguard Contractor (PSC) and Medicaid Integrity Contractor (MIC) contracts. |
|---|
Meridian
| I-MEDIC | The Investigations Medicare Drug Integrity Contractor (I-MEDIC) is a contractor responsible for monitoring all fraud, waste or abuse initiatives in the Medicare Advantage (Part C) and Prescription Drug Plan (Part D) benefits (specific to provider, prescribers and pharmacies) in all 50 states, the District of Columbia, and U.Southward. Territories. |
|---|
Meridian
| PPI MEDIC | The Plan Plan Integrity (PPI) Medicare Drug Integrity Contractor (MEDIC) is a contractor responsible for the Medicare Reward (Part C) and Prescription Drug Plan (Role D) proactive information assay , audits, generation of risk cess reports, and plan sponsor instruction and outreach in all 50 states, the District of Columbia, and U.S. Territories. |
|---|
Meridian
norrisbusiouty1960.blogspot.com
Source: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map
0 Response to "Cms to Provide Healthcare Review Contractorsw With Access to"
Postar um comentário