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ACS Advocacy and Health Policy Staff

Division Director
Christian Shalgian
20 F Street, NW
Suite 1000
Washington, DC 20001
Phone: 202-337-2701
Fax: 202-337-4271
cshalgian@facs.org

Assistant Director, Regulatory Affairs and Quality Improvement Programs
Bob Jasak
Phone: 202-337-2701
E-Mail: bjasak@facs.org

Assistant Director, Legislative Affairs
Kristen V. Hedstrom, MPH
Phone: 202-672-1503
khedstrom@facs.org

Manager, State Affairs
Jon Sutton
Phone: 312-202-5358
jsutton@facs.org

General Information
ahp@facs.org


Practice Management Resources

With a multitude of Medicare regulations to comply with, surgeons and their practices need practical and useful information to help them do so. Following are some websites pertaining to numerous Medicare issues that may be of help.

National Medicare Resources

CMS

Centers for Medicare & Medicaid Services (CMS)

http://cms.hhs.gov

Information for plans and providers

http://cms.hhs.gov/professionals/default.asp

Medicare Learning Network (products, services and educational activities offered by CMS and Medicare contractors)

http://www.cms.hhs.gov/medlearn/default.asp

CMS Advisory Opinions

http://cms.hhs.gov/physicians/aop/default.asp

LMRP

Local Medicare Review Policy

(sponsored by CMS)

http://www.lmrp.net/

Draft Local Medicare Review Policy

(sponsored by CMS)

http://www.draftlmrp.net/

OIG

HHS Office of the Inspector General

http://oig.hhs.gov/

Safe Harbor Regulations

http://oig.hhs.gov/fraud/safeharborregulations.html

Fraud Alerts, Bulletins and Other Guidance

http://oig.hhs.gov/fraud/fraudalerts.html

Individuals and entities excluded from federal programs

http://oig.hhs.gov/fraud/exclusions.html

Special Advisory Bulletin: Offering Gifts and Other Inducements To Beneficiaries (September 2002)

http://oig.hhs.gov/fraud/docs/alertsandbulletins/
SABGiftsandInducements.pdf

HHS Office of Inspector General - OIG Compliance Program for Individual and Small Group Physician Practices (October 2000)

http://oig.hhs.gov/authorities/docs/physician.pdf

 

Medicare Part B Carriers

State

Carrier

Website

AL

Cahaba GBA

http://www.almedicare.com/provider/services.htm

AK

NORIDIAN

http://www.noridianmedicare.com/

AZ

NORIDIAN

http://www.noridianmedicare.com/

AR

Arkansas Blue Cross/Blue Shield

http://www.arkmedicare.com/provider/provinfo.html

CA

NHIC

http://www.medicarenhic.com/

CO

NORIDIAN

http://www.noridianmedicare.com/

CT

First Coast Service Options, Inc.

http://www.connecticutmedicare.com/

DE

TRAILBLAZER

http://www.trailblazerhealth.com/

DC

TRAILBLAZER

http://www.trailblazerhealth.com/

FL

First Coast Service Options, Inc.

http://www.floridamedicare.com/

GA

Cahaba GBA

http://www.gamedicare.com/provider/provinfo.htm

HI

NORIDIAN

http://www.noridianmedicare.com/

ID

CIGNA

http://www.cignamedicare.com/partb/

IL

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=524

IN

ADMINISTAR

http://www.astar-federal.com/anthem/affiliates/adminastar/medb

IA

NORIDIAN

http://www.noridianmedicare.com/

KS

Kansas Blue Cross/Blue Shield

http://www.kansasmedicare.com/part_B/part_b.htm

KY

ADMINISTAR

http://www.astar-federal.com/anthem/affiliates/adminastar/medb

LA

Louisiana Blue Cross/Blue Shield

http://www.lamedicare.com/

ME

NHIC

http://www.medicarenhic.com/

MD

TRAILBLAZER

http://www.trailblazerhealth.com/

MA

NHIC

http://www.medicarenhic.com/

MI

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=525

MN

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=809

MS

Cahaba GBA

http://www.msmedicare.com/provider/home.htm

MO

Arkansas Blue Cross/Blue Shield

http://www.medicare.bcbsmt.com/provider_part_b.htm

MT

Montana Blue Cross/Blue Shield

http://www.medicare.bcbsmt.com/provider_part_b.htm

NE

Kansas Blue Cross/Blue Shield

https://www.bcbskc.com/WebSec/ASP/
NonMemberLogin.asp?LVL=PROVIDER

NV

NORIDIAN

http://www.noridianmedicare.com/

NH

NHIC

http://www.medicarenhic.com/

NJ

Empire Medicare

http://www.empiremedicare.com/newj/clickwrap/clickwrapnj.htm

NM

NM Blue Cross/Blue Shield

http://www.oknmmedicare.com/provider/provinfo.html

NY

GHI Medicare

(Queens County)

http://www.ghimedicare.com/provider/provitem.html

NY

Empire Medicare

(Counties of Bronx, Columbia, Delaware, Duchess, Greene, Kings, Nassau, New York, Orange, Putnam, Richmond, Rockland, Suffolk, Sullivan, Ulster and Westchester)

http://www.empiremedicare.com/newj/
clickwrap/clickwrapprtb.htm

NY

Upstate Medicare Division

(All other Counties)

http://www.umd.nycpic.com/provinfo.html

NC

CIGNA Healthcare

http://www.cignamedicare.com/partb/

ND

NORIDIAN

http://www.noridianmedicare.com/

OH

Palmetto GBA

http://www.palmettogba.com/palmetto/Providers.nsf/(Home)/
Providers+Home?OpenDocument

OK

OK Blue Cross/Blue Shield

http://www.oknmmedicare.com/provider/provinfo.html

OR

NORIDIAN

http://www.noridianmedicare.com/

PA

HGSA Administrators

http://www.hgsa.com/professionals/index.shtml

RI

Rhode Island Blue Cross/Blue Shield

http://www.rimedicare.org/provider/index.cfm

SC

Palmetto GBA

http://www.palmettogba.com/palmetto/Providers.nsf/Home/
Providers+Part+B+Carrier+Home?OpenDocument

SD

NORIDIAN

http://www.noridianmedicare.com/

TN

CIGNA Healthcare

http://www.cignamedicare.com/partb/

TX

TRAILBLAZER

http://www.trailblazerhealth.com/

UT

Utah Blue Cross/Blue Shield

http://utmedicare.regence.com/medicare_part_b/index.html

VT

NHIC

http://www.medicarenhic.com/

VA

TRAILBLAZER

http://www.trailblazerhealth.com/

WA

NORIDIAN

http://www.noridianmedicare.com/

WV

NATIONWIDE

http://www.palmettogba.com/palmetto/Providers.nsf/(Home)/
Providers+Home?OpenDocument

WI

WPS

http://www-ss.wpsic.com/medicare_web/SilverStream/Pages/
Level_2_Final.html?pageID=523

WY

NORIDIAN

http://www.noridianmedicare.com/

ALL

Railroad Medicare

(Palmetto GBA)

http://www.palmettogba.com/palmetto/Providers.nsf/Home/
Providers+Railroad+Medicare+Home?OpenDocument

Links to ACS Health Policy and Advocacy Department Resources

Medicare Instructions on Billing for Consultations

Socioeconomic Tips of the Month

 

Revised December 8, 2005

 

Advocacy and Health Policy


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by the American College of Surgeons, Chicago, IL 60611-3211