Role of A/B MACs (B) and DME MACs

50 - Role of A/B MACs (B) and DME MACs (Rev. 1, 09-11-02) The law requires the Secretary, DHHS, to enter into contracts with A/B MACs (B) and DME MACs to serve in the operation and administration of the non-provider Part B program. A/B MACs (B) enroll physicians, non-physician health care practitioners and other entities that will submit claims to the A/B MAC (B), and process Medicare claims and make payments for services and supplies covered by Part B. Other major functions include, for example, controlling over-utilization and communicating with beneficiaries and the health community. DME MACs have been given the responsibility of processing durable medical equipment, prosthetic, orthotic, and supply (DMEPOS) claims. See Claims Processing Manual, chapter 1, for description of jurisdiction.