Nova Eye USA Sales Growth Opportunity
Who are the Medicare Administrative Contractors?
• The MACS are private insurance
.
contractors granted responsibility by the
US Government Center for Medicare and
Medicaid Services (CMS) to administer
the health care funding allocated by
Congress
• MACS administer claims, review doctors'
operating notes, consider whether the
surgery was medically necessary and pay
the claims based on allowances (codes)
provided by CMS
MACs that proposed changes to Local
Coverage Determinations (LCDs):
• National Government Services (NGS)
•
.
WPS Government Health Administrators
(WPS)
Palmetto GBA (Palmetto)
• Celerian Group Company (CGS)
Noridian Healthcare Solutions (Noridian)
JE
Noridian
JF
JF
Noridian
J6
NGS
J8
WPS
J5
WPS
J15
CGS
JL
Novitas
JH
Novitas
JJ
Palmetto
JM
Palmetto
JN
FCSO
ع
ne
JK
NGS
MACs that DID NOT propose changes to LCDs:
•
First Coast Service Options (FSCO)
.
Novitas Solutions (Novitas)
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