The American College of Radiology (ACR) is criticizing the Centers for Medicare and Medicaid Services (CMS) for its potential consolidation of four Medicare Administrative Contractor (MAC) jurisdictions into two jurisdictions.
The ACR reiterated its stance 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 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, about 34 million beneficiaries.
The college's full comments can be accessed here.
