| National
Government Services: Your Medicare Administrative Contractor
On March 18, 2008, the Centers for Medicare & Medicaid
Services (CMS) announced the award of the contract for the
combined administration of Part A and Part B Medicare fee-for-service
claims in Jurisdiction 13 to National Government Services.
National Government Services will to serve as the new A/B
Medicare administrative contractor (A/B MAC) for Jurisdiction
13 (J13), which includes the states of Connecticut and New
York.
National Government Services will partner with MedUS Services
(a wholly owned subsidiary of HealthNow New York Inc.), the
Upstate New York Part B incumbent, for the administration
of this contract. MedUS Services will process a portion of
the J13 Part B Claims, Appeals, Medical Review, Provider Enrollment,
and Provider Outreach workloads. We are pleased to introduce
this J13 National Government Services team to you and your
staff. The benefit of this exceptional partnership is the
integration of the strengths and experience of each team member
to form a seamless operational environment providing superior
services to the J13 Medicare community.
The National Government Services team is committed to continuing
our service of excellence to Medicare providers and beneficiaries.
We look forward to working with you to successfully implement
the J13 MAC.
Implementation Schedule
National Government Services will assume responsibility for
J13 MAC workload in five (5) segments (states). Below is listed
the cutover or transition date for each workload. Please note
that regardless of the date of service, all claims processing,
customer service and payments will be handled by the J13 MAC
upon the cutover dates listed below. Outgoing contractors
will transfer all pending and in-process operations to the
J13 MAC at that time. These dates are subject to change as
directed by CMS.
Current
Contractor - 5 Segments |
State(s) |
Cut-Over
Date |
GHI Part B – Segment 1 |
Queens, NY |
7/18/2008 |
Empire Part B – Segment 2 |
Downstate New York |
7/18/2008 |
FCSO Part B – Segment 3 |
Connecticut |
8/1/2008 |
HealthNow Part B – Segment 4 |
Upstate New York |
9/1/2008 |
Empire Part A – Segment 5 |
New York State |
11/14/2008 |
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