News

Medicare Administrative Contractors Selected for Kentucky

Jan 8th, 09

The Centers for Medicare and Medicaid Services (CMS) announced five Medicare Administrative Contractors (MACs) awarded contracts for the combined administration of Part A and Part B Medicare fee-for-service claims.  The MACs serve as the first point of contact for the processing and payment of Medicare fee-for-service claims from hospitals, skilled nursing facilities, physicians and other health care practitioners.  The new contractors will administer and pay claims, tasks currently performed by fiscal intermediaries and carriers. 

Under the current system, fiscal intermediaries process claims for Medicare Part A providers, such as hospitals, skilled nursing facilities and other institutional providers.  Carriers process claims for physicians, laboratories and other practitioners under Medicare Part B.  When fully implemented, Medicare Administrative Contractors will review and process all fee-for-service claims submitted to Medicare for payment.

The contractors awarded Part A and Part B MAC contracts for Kentucky are:

Highmark Medicare Services has been awarded a contract for the combined administration of Part A/Part B Medicare claims payment in Jurisdiction 15 comprised of Kentucky and Ohio.

Palmetto Government Benefits Administrator, LLC has been awarded a contract to process home health and hospice claims from providers in Kentucky.