Downcoded

The Contract Nobody Has to Re-Enroll For

CMS awarded the Jurisdiction H A/B MAC workload this week and the transmittal's whole point is that nothing about it changes: same workload identifiers, same FISS roll-ups, same BSIs, no provider education. Meanwhile eight coverage documents went live across four MACs this morning with no announcement at all, and four of them repriced a facet joint code pair.


A Medicare Administrative Contractor jurisdiction changed hands on Tuesday, and the entire content of the announcement is that nothing about it changes.

Transmittal 13928 gives the J-H Part A and Part B workload to Novitas Solutions, Inc., as the incumbent.

Same workload identifiers. Same FISS roll-up numbers. Same Business Segment Identifiers, all eighteen of them, spelled out in the attachment so there is no room to wonder.

Provider education: None. Impacted contractors: None.

If you bill Part A or Part B in Colorado, New Mexico, Texas, Oklahoma, Arkansas, Louisiana or Mississippi, that is the best sentence CMS wrote all week.

"When is a contract award the thing you can safely ignore, and what got past you while you were reading it?"

The rest of this brief is for subscribers.

The impact tables, the code-level detail, and the rest of the analysis sit past this line.

$50 a month, or $500 a year.