MACs, CACs, and Orthopaedics

Ensuring orthopaedic input on local coverage determinations

Elizabeth Fassbender

Medicare Administrative Contractors (MACs) are multistate, regional contractors that process Medicare claims, enroll and educate providers on the Medicare program, and handle provider and beneficiary inquiries and claims appeals. According to the Centers for Medicare & Medicaid Services (CMS), the MACs and other Medicare claims administration contractors process nearly 4.9 million Medicare claims each business day and disburse more than $365 billion annually in program payments.

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