Which Type of Rac Review Combines Data Analysis and Submission of Medical Records to the Rac?
The Review Contractor Directory - Interactive Map allows you lot to access state-specific CMS contractor contact information. You may receive correspondence from one or several of these contractors in your state. They may asking medical records from you lot, as they perform business on behalf of CMS. You can use this website to access their contact data including emails, phone numbers and websites.
Alaska
| Alaska | |
|---|---|
| AB Medicare Authoritative 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-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-List |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Unfied 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 Noridian Healthcare Solutions, LLC P.O Box 6727 Fargo ND, 58108 dme@noridian.com http://www.noridianmedicare.com 877-320-0390 Accepts esMD transactions |
| Medicare Administrative Contractor (MAC) | Function A and Office B Medicare Administrative Contractors (A/B MACS) Jurisdiction F Noridian Healthcare Solutions, LLC PO Box 6722 Fargo, ND 58108-6722 877-908-8431 Accepts esMD transactions |
Top
American Samoa
| American Samoa | |
|---|---|
| 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 |
| Railroad Retirement Board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Domicile Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region iv Medicare RAC Region five National DME/HHH |
| Unified Program Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Tiptop
| 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 Authoritative Contractor (MAC) | Part A and Part B Medicare Authoritative Contractor (A/B MAC) AG-905 17 Technology Circumvolve Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Top
Arizona
| Arizona | |
|---|---|
| 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-Listing |
| 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-Listing |
| Habitation Health and Hospice (HH+H) | 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 Plan 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) | Part A and Part B Medicare Administrative Contractor (A/B MAC) |
Top
California
| California | |
|---|---|
| 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-Listing |
| Railroad Retirement Lath (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Indian Wellness | 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 four Medicare RAC Region 5 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 Administrative Contractor (MAC) | Role A and Part B Medicare Administrative Contractor (A/B MAC) |
Summit
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-Listing |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement board (RRB) | |
| 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 Accost: (855) 235-4911 |
Top
| 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 Function B Medicare Administrative Contractor (A/B MAC) |
Elevation
District of Columbia
| Delaware | |
|---|---|
| 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://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Home Health and Hospice (HH+H) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| 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 |
Top
| 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 Authoritative Contractor (A/B MAC) |
Top
Guam
| Guam | |
|---|---|
| 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 Board (RRB) | 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 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 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Administrative Contractor (MAC) | Part A and Office B Medicare Authoritative Contractor (A/B MAC) |
Top
Hawaii
| Hawaii | |
|---|---|
| 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-Listing |
| Railroad Retirement board (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Home Wellness and Hospice (HH+H) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region 5 National DME/HHH |
| Unified Plan Integrity Contractors (UPICs) | UPIC Western Jurisdiction (UPICW) Mailing Address: (410) 770-3814 |
Superlative
| 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) | Function A and Office B Medicare Administrative Contractor (A/B MAC) Jurisdiction E Noridian Healthcare Solutions, LLC: AG-905 17 Technology Circumvolve Columbia, SC 29203 http://www.palmettogba.com 803-735-1034 Accepts esMD transactions |
Peak
Idaho
| Idaho | |
|---|---|
| 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-List |
| Indian Health | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Abode Health and Hospice (HH+H) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Inspect 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) |
Top
Maryland
| Maryland | |
|---|---|
| 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 |
| Home Health and Hospice (HH+H) | 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 |
| Recovery Inspect 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 |
Height
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Administrative Contractor (A/B MAC) Part A and Part B Medicare Authoritative Contractor (A/B MAC) |
Elevation
Montana
| Montana | |
|---|---|
| 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 |
| Home Health 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 Wellness | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Audit Contractors (RACs) | Region four Medicare RAC Region five National DME/HHH |
| Unified Plan 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) | Function A and Office B Medicare Administrative Contractor (A/B MAC) Part A and Role B Medicare Authoritative Contractors (A/B MACS) |
Top
Nevada
| Nevada | |
|---|---|
| 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://world wide web.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-Listing |
| Abode 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 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) | Function A and Role B Medicare Administrative Contractor (A/B MAC) Jurisdiction E Noridian Healthcare Solutions, LLC P.O. Box 1091 Augusta, GA 30903-1091 http://world wide web.palmettogba.com IVR: 866-931-3901 Provider Contact Center: 866-931-3901 Accepts esMD transactions |
Top
Due north Dakota
| North Dakota | |
|---|---|
| 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 |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Lath (RRB) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Health | 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 Address: (410) 770-3814 |
Elevation
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Role A and Part B Medicare Authoritative Contractor (A/B MAC) Part A and Part B Medicare Authoritative Contractors (A/B MACS) |
Top
Pennsylvania
| Pennsylvania | |
|---|---|
| AB Medicare Administrative Contractor (MAC) | https://world wide web.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 |
| Recovery Audit Contractors (RACs) | Region 4 Medicare RAC Region five National DME/HHH |
| Northeast Unified Plan Integrity Contractor (NE UPIC) | SafeGuard Services LLC (SGS) Mailing Address: (855) 235-4911 |
Superlative
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review: Jurisdiction A DME |
| Medicare Administrative Contractor (MAC) | Part A and Part B Medicare Authoritative Contractors (A/B MAC) Function A and Office B Medicare Administrative Contractors (A/B MACS) |
Top
South Dakota
| Due south Dakota | |
|---|---|
| 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-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 |
| Indian Health | 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 Programme 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) | Part A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Authoritative Contractors (A/B MAC) |
Acme
Utah
| Utah | |
|---|---|
| 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-Listing |
| Home Health and Hospice (HH+H) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Railroad Retirement Lath (RRB) | https://world wide web.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Indian Health | 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 Address: (410) 770-3814 |
Top
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Authoritative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Office A and Part B Medicare Administrative Contractors (A/B MAC) Part A and Part B Medicare Administrative Contractors (A/B MAC) |
Acme
Virginia
| Virginia | |
|---|---|
| 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://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 Lath (RRB) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Recovery Audit Contractors (RACs) | Region 3 Medicare RAC Region 5 National DME/HHH |
| Unified Programme Integrity Contractors (UPICs) | SE UPIC Mailing Accost: (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 Part 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-List |
| 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 |
| Indian Wellness | 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 four Medicare RAC Region 5 National DME/HHH |
| Unified Programme 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 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 Authoritative Contractor (DME MAC) | https://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-Listing |
| Domicile Health and Hospice (HH+H) | https://world wide web.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://www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/MAC-Website-List |
| Recovery Inspect 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 |
Pinnacle
| Medical Review | |
|---|---|
| Durable Medical Equipment Medicare Administrative Contractor (DME MAC) | Medical Review Jurisdiction D |
| Medicare Authoritative Contractor (MAC) | Part A and Role B Medicare Administrative Contractors (A/B MAC) Office A and Part B Medicare Administrative Contractors (A/B MAC) |
Top
CMS Divisions Responsible for Contractors
| Supplemental Medical Review Contractor (SMRC) | |
|---|---|
| All of the United states of america of America | Noridian Healthcare Solutions, LLC 900 42nd St S PO Box 6711 Fargo, ND 58103 833-860-4133 https://www.noridiansmrc.com/ Accepts esMD transactions |
Elevation
| Plan Programme Integrity MEDIC (PPI MEDIC) | |
|---|---|
| All 50 States | PPI MEDIC Corporate Headquarters: Qlarant 28464 Marlboro Avenue Easton, MD 21601 410-770-8583 Written report Fraud, Waste or Abuse: 1-877-7SAFE-RX world wide web.qlarant.com |
Top
| Investigations MEDIC (I-MEDIC) | |
|---|---|
| All l States | Qlarant 28464 Marlboro Avenue Easton, MD 21601 410-770-8583 Report Fraud, Waste or Abuse: 1-877-7SAFE-RX www.qlarant.com |
Summit
| Partition of Prescription Drug Audits (DPDA) | |
|---|---|
| All 50 States | The Division of Prescription Drug Audits (DPDA) serves as the focal betoken for Fraud, Waste, and Abuse oversight of Medicare Reward and Prescription Drug Plans. DPDA also performs oversight of the PPI MEDIC and the Role D RAC. |
| Country Point of Contact Comprehensive Error Charge per unit Testing (CERT) | |
|---|---|
| All fifty States | E-Mail: cert@cms.hhs.gov Website: /cert CERT Review Contractor (RC) - NCI Information Systems, Inc. CERT Statistical Contractor (SC) - The Lewin Grouping, Inc. Accepts esMD transactions |
Top
| State Bespeak of Contact Payment Error Charge per unit Measurement (PERM) | |
|---|---|
| All 50 States | Eastward-Mail: permproviders@cms.hhs.gov Website: /perm PERM Statistical Contractor (SC) - The Lewin Group PERM Review Contractor (RC) - A+ Government Solutions Accepts esMD transactions |
Peak
| Sectionalization of Compliance, Projects and Demonstrations (DCPD) | |
|---|---|
| All 50 States | To assure the integrity of Medicare Trust Fund dollars through plan integrity and compliance efforts past actively seeking out suspected Medicare program vulnerabilities through a variety of methods, assessing scope and severity of risks, and working collaboratively within and outside CMS to develop, assist implement, and monitor corrective actions. |
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| Recovery Audit Contractors (RACs) | |
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| All l States | The RACs discover and correct by improper payments so that CMS and Carriers, FIs, and MACs tin implement actions that volition prevent future improper payments:
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| Medical Review | |
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| All l States | The collection of information and clinical review of medical records by Medicare Authoritative Contractors to ensure that payment is made only for services that come across the Medicare coverage, coding and medical necessity requirements. |
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| Program Program Integrity MEDIC (PPI MEDIC) | |
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| All 50 States | PPI MEDIC Corporate Headquarters: Qlarant 28464 Marlboro Avenue Easton, Dr. 21601 410-770-8583 Written report Fraud, Waste or Abuse: 1-877-7SAFE-RX www.qlarant.com |
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| Investigations MEDIC (I-MEDIC) | |
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| All 50 States | Qlarant 28464 Marlboro Avenue Easton, MD 21601 410-770-8583 Report Fraud, Waste material or Corruption: 1-877-7SAFE-RX world wide web.qlarant.com |
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| Division of Prescription Drug Audits (DPDA) | |
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| All fifty States | The Partitioning of Prescription Drug Audits (DPDA) serves as the focal point for Fraud, Waste, and Abuse oversight of Medicare Reward and Prescription Drug Plans. DPDA also performs oversight of the PPI MEDIC and the Office D RAC. |
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Definition of Contractors
| CERT | Comprehensive Error Rate Testing (CERT) program is to mensurate improper payments in the Medicare fee-for-service (FFS) program. The CERT program cannot be considered a measure of fraud. Since the CERT programme uses random samples to select claims, reviewers are often unable to see provider billing patterns that indicate potential fraud when making payment determinations. CERT is designed to comply with the Improper Payments Elimination and Recovery Human action of 2010. |
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| 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. |
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| HHH | Home Health and Hospice |
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| IH | Indian Health |
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Acme
| MAC | Medicare Administrative Contractor is a contractor that performs Medicare fee-for-service claims assistants services that is awarded a contract through competitive procedures in keeping with Section 1874A of the Social Security Act. |
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| Office D RAC | The Role D Recovery Inspect Contractor (RAC) is a contractor that performs data analysis on Prescription Drug Events (PDE) submitted by Part D plan sponsors in order to detect improper payments. The RAC is paid a contingency fee for amounts recovered. |
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| PERM | The Payment Fault Charge per unit Measurement (PERM) program measures improper payments in Medicaid and Fleck and produces error rates for each program. The error rates are based on reviews of the fee-for-service (FFS), managed care, and eligibility components of Medicaid and CHIP in the financial year (FY) under review. Information technology is important to annotation the fault rate is not a "fraud rate" simply but a measurement of payments made that did non meet statutory, regulatory or administrative requirements. |
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| Recovery Auditor(s) | Recovery Auditors, are tasked with identifying and recovering Medicare overpayments and identifying underpayments. |
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| RHHI | Regional Home Health and Hospice Intermediary |
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Meridian
| RRB | Railroad Retirement Lath |
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| SMRC | The Supplemental Medical Review Contractor is a contractor that performs Medicare medical review activities as directed past CMS. This is a contract that is awarded through competitive procedures in keeping with Section 1874A of the Social Security Deed. |
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Superlative
| UPIC | The Unified Program Integrity Contractors (UPICs) perform fraud, waste, and abuse detection, deterrence and prevention activities for Medicare and Medicaid claims processed in the The states. Specifically, the UPIC's perform integrity related activities associated with Medicare Parts A, B, Durable Medical Equipment (DME), Dwelling Health and Hospice (HH+H), Medicaid, and the Medicare-Medicaid data friction match plan (Medi-Medi). The UPIC contracts operate in five (5) separate geographical jurisdictions in the Usa and combine and integrate functions previously performed by the Zone Programme Integrity Contractor (ZPIC), Program Safeguard Contractor (PSC) and Medicaid Integrity Contractor (MIC) contracts. |
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| 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 fifty states, the District of Columbia, and U.Due south. Territories. |
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| PPI MEDIC | The Plan Program Integrity (PPI) Medicare Drug Integrity Contractor (MEDIC) is a contractor responsible for the Medicare Advantage (Part C) and Prescription Drug Plan (Role D) proactive data analysis , audits, generation of risk assessment reports, and plan sponsor education and outreach in all 50 states, the District of Columbia, and U.S. Territories. |
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Source: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map
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