What is jurisdiction B for Medicare?
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.
What place of service should be used for DME?
Consistent with CMS guidelines, reimbursement of certain DME items is limited to a place of service (P OS) that qualifies as the patient’s home. The following POS codes would qualify as the patient’s home: 01, 04, 09, 12, 13, 14, 16, 31, 32, 33, 54, 55, 56, and 65.
What is CGS medical?
Abbreviation for centimeter-gram-second.
What states are in Medicare Region A?
DME MAC Jurisdiction A – DME Facts
- JA processes FFS Medicare DME claims for Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.
- Total Number of Fee-for-Service Beneficiaries: 7,649,029 (as of 9/30/2021)
What are Medicare regions?
CMS Regional Offices
| Region | Regional Office Location | Contact |
|---|---|---|
| Region 1 | Boston | [email protected] |
| Region 2 | New York | [email protected] |
| Region 3 | Philadelphia | [email protected] |
| Region 4 | Atlanta | [email protected] |
Who owns CGS Medicare?
Celerian Group
CGS Administrators, a subsidiary of Celerian Group, is a Medicare Administrative Contractor (MAC) for the Centers for Medicare and Medicaid Services (CMS), the agency that oversees Medicare. Headquartered in Nashville, Tennessee, CGS serves 24 million Medicare beneficiaries and 100,000 health care professionals.
What is Jurisdiction A DME MAC?
The Jurisdiction A DME MAC serves Medicare beneficiaries who reside in the states of Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont, and the District of Columbia.
How many Medicare regions are there?
26 regions
Of the 26 regions, 10 are single states where there is also a BCBS plan or equivalent that could potentially enter the MA market as a regional plan. In addition, three multi-state regions include states that are served by a set of related organizations.
Which DME medical supplies are covered by Medicare Part B?
Whether you need some short-term support or you have a long-term need for medical equipment, durable medical equipment (DME) is covered under your Medicare Part B benefits. You’ll need a prescription from your doctor to access coverage to rent or buy eligible equipment. Covered DME may include: Canes. Crutches.
What DME does Medicare cover?
Your health makes it hard to move around in your home.
What is Medicare Region B?
Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A. Each year the Medicare Part B premium, deductible, and coinsurance rates are determined according to the Social Security Act.
How to become an authorized Medicare DME supplier?
– Obtain DMEPOS accreditation from a CMS-approved organization – Enroll in the Medicare program as a DMEPOS Supplier – Post a surety bond to the National Supplier Clearinghouse (NSC)