Future of the CAC
Medicare Contractor Reform
Section 911 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) mandates the replacement of all current fiscal intermediaries and carriers with new contractors, called Medicare Administrative Contractors (MACs), who will administer both Part A and Part B claims. The intent of doing so is to reduce inconsistencies between Medicare Part A and Part B and increase flexibility in Medicare administration.
Congress also mandated that CMS seek the input of providers to create performance measurement criteria for the MACs, as the healthcare community must work with these contractors on a daily basis to submit claims and subsequently receive reimbursement for the care they provide to Medicare beneficiaries. The ACR took this opportunity and submitted written comments to CMS emphasizing the importance of maintaining local physician input through the current state-specific Carrier Advisory Committee (CAC) process. Click on the link below to view the comments.