Medicaid…Medicare…and more
The Division of Public Payer Advocacy is responsible for assisting MAG members in their dealings with government payer programs. This includes the following areas of responsibility:
- Medicare
- Centers for Medicaid and Medicare (CMS)
- Cahaba Government Benefit Administrators, LLC
- Railroad Medicare
- Georgia Department of Community Health
- Division of Medical Assistance (Medicaid)
- Drug Utilization Review Board
- State Health Benefit Plan
- Board of Regents Health Plan
- State Health Planning
- Department of Human Resources
- Office of Healthcare Facility Regulation, Georgia Department of Community Health
- Georgia Department of Public Health
- Emergency Medical Services
- TRICARE
Resources
- Aetna
- Amerigroup Community Care
- BlueCross BlueShield of Georgia
- Cahaba GBA (CMS contract for administering Part A and Part B claims)
- Centers for Medicare and Medicaid (CMS)
- CIGNA
- Coventry Health Care of Georgia
- Department of Community Health
- Georgia DCH monthly newsletter (August, 2012)
- Humana
- Humana Claim Processing Edits
- MAG's Physician Tiering Webpage
- Peach State Health Plan
- Physicians Advocacy Institute “Tip Sheet for Physicians: Reviewing and Disputing Physician Rating and Tiering by Health Plans”
- Physicians Advocacy Institute White Paper “Medical Audits: What Physicians Need to Know”