Oct. 9, 2024
The American College of Radiology® (ACR®) provided comments  to the Centers for Medicare and Medicaid Services (CMS) in response to the agency’s September Request for Information (RFI) about the potential consolidation of four Medicare Administrative Contractor (MAC) jurisdictions into two jurisdictions, and to get feedback about extending MAC contracts from seven to 10 years. The College wrote against the consolidation and reiterated its position to strengthen the engagement of physicians within the coverage determination process.

MACs are private healthcare insurers awarded a geographic jurisdiction to process Medicare Part A and Part B medical claims or Durable Medical Equipment (DME) claims for people with traditional fee-for-service (FFS) Medicare. Currently, there are 12 A/B MACs and four DME MACs in the program that process Medicare FFS claims for nearly 51% of the total Medicare beneficiary population, approximately 34 million Medicare FFS beneficiaries.

If you have questions or want more information about local coverage policies and MAC activities, contact Alicia Blakey, ACR Principal Economic Analyst.

Related ACR News

  • CMS Updates ICD-10 Codes for Radiology NCDs

    Change Request 14194 details ICD-10 coding revisions for mammograms, PET for oncologic conditions and percutaneous image-guided breast biopsy.

    Read more
  • House Spending Bill Maintains NIH Funding Levels

    The House FY2026 spending bill maintains NIH funding at $48B, rejecting proposed cuts; ACR continues advocacy for medical research as a national priority.

    Read more
  • Feds Propose Revising Small Business Size Standards

    The SBA released a proposed rule to revise the monetary-based small business size standards for 263 industries, including diagnostic imaging centers.

    Read more