CMS Named National Government Services as the Medicare Administrative Contractor for Connecticut and New York.
Pursuant to the Medicare Modernization Act of 2003, the Secretary of HHS must implement “Medicare Contracting Reform” and replace all current intermediaries and carriers with Medicare Administrative Contractors (“MACs”) by 2011. Through the creation of MACs, claims processing for Medicare Parts A and B will become integrated. According to CMS, the goal of Medicare plan reform is to offer both beneficiaries and providers “one-stop shopping” for all their program inquiries and requests. In the case of providers, reform is also aimed at allowing access to a comprehensive view of a beneficiary’s care, including recent hospitalizations, physician visits, and prescription drugs.
Read the full alert by downloading the PDF file.