Harmony Healthcare Blog

Transition your Nursing home to your new (MAC)

Posted by Kris Mastrangelo on Sun, Jun 13, 2010


Edited by Kris Mastrangelo

Transition your Nursing home to your new Administrative Contractor (MAC) with Ease: Part II

 CMS recently published an article which guides providers through the process of transitioning from a Fiscal Intermediary (FI) to a Administrative Contractor (MAC). The Centers for Medicare & Medicaid Services (CMS) is providing this information to make you aware of what to expect as your FI or carrier transitions its work to a MAC. Knowing what to expect and preparing as outlined in this second in the series of articles will minimize disruption in your Medicare business.
 
The following are addtional recommendations to add to last week's list to help you in this effort:
Participate in the MAC's advisory groups and "Ask the Contractor" meetings. Every Administrative Contractor will be conducting conference calls to give providers the opportunity to ask questions and have open discussion. Take advantage of the opportunity to communicate with the new MAC!
 Review the MAC's local coverage determinations (LCDs) as they may be different from the outgoing contractor LCDs. The MAC must provide education on LCDs. Providers
should monitor MAC communications and website for information regarding potential changes to the LCDs. 
Be aware that One Month prior to Cutover there are even more specific recommendations from CMS.  Including the following:

Complete and return your Electronic Funds Transfer (EFT) agreements. CMS requires that each provider currently enrolled for EFT complete a new CMS-588 for the new MAC. (If your new MAC is the same entity as your current FI/carrier, then a new EFT agreement is not needed.) This form is a legal agreement between you and the MAC that allows funds to be deposited into your bank account. It is critical for the MAC to receive these forms before any payments are issued. Complete the CMS-588 and get it to the MAC to ensure that there is no delay or disruption in payment. We encourage you to
 do this no later than 60 days prior to cutover. Contact your MAC with any questions concerning the agreement.
The CMS-588 form can be found at http://www.cms.hhs.gov/cmsforms/downloads/CMS588.pdf on the CMS website.
Contact your claims processing vendor and clearinghouse to ensure that they are aware of all changes affecting their ability to process claims with the new MAC. Ask your vendor, "Are you using the new contractor number or ID of the new MAC, submitter number and logon ID?"; "Have you tested with the MAC?"
CMS will be contiuing to update providers on the MAC transition, so visit the CMS site regularly to review this valuable information. http://www.cms.hhs.gov/MLNMattersArticles/downloads/mm5979.pdf  on the CMS website

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