TENNESSEE MEDICARE PART B CUTOVER DATE IS AUGUST 29, 2009

On January 07, 2009, the Centers for Medicare & Medicaid Services announced Cahaba Government Benefit Administrators®, LLC is the Medicare Administrative Contractor (MAC) for Jurisdiction 10 comprised of Alabama, Georgia, and Tennessee. As the J10 MAC, Cahaba GBA will be responsible for the administration of all Medicare Part A and Part B claims in Alabama, Georgia and Tennessee.

The Centers for Medicare and Medicaid Services (CMS) needs to change the contractor workload numbers for the Part A and Part B workloads in the states of Alabama, Georgia and Tennessee when workload is transitioned to the J10 A/B MAC.

Part B Tennessee
J10 MAC Workload No.: 10302
Effective Date: 08/29/2009
Current Contractor No.: 05440

Tennessee Part B claims submitted to the J10 A/B MAC, Cahaba GBA, after 4:00 p.m. CT (5:00 p.m. ET) on Friday, August 28, 2009 MUST have the new workload/receiver ID, 10302, in segments ISA08 and GS03 as well as in loop 1000B, segment NM109. Also, electronic claim status inquiries (276/277) must have the new workload/receiver ID, 10302, in segments ISA08 and GS03 as well as in loop 2100A, segment NM109. Claims and claim status inquiries sent without the new workload ID WILL REJECT. Please contact your vendor to insure your system is updated. Failure to submit the correct workload/receiver ID will cause your claims to reject during the front-end editing process.

Electronic Funds Transfer (EFT)
All providers currently receiving payments from CIGNA Government Services via EFT, MUST submit a new CMS-588/EFT form (http://www.cms.hhs.gov/cmsforms/downloads/CMS588.pdf), Authorization Agreement for Electronic Funds Transfer, IMMEDIATELY to avoid an interruption in EFT payment. This is required even if Cahaba GBA’s financial institution is the same as that of CIGNA Government Services. Providers that do not complete and submit the CMS-588/EFT form prior to cutover will not receive Medicare payments.

Please Note: If you are a group practice and have multiple physicians within your organization, only one CMS-588/EFT for the group is needed. A separate CMS-588/EFT for each provider within the group is not required. Additionally, group practices with multiple locations that are all under the same Tax ID number and have their Medicare payments deposited to one bank account are only required to send in one CMS-588/EFT Agreement. However, if the Medicare payments for each location are deposited to different bank accounts, a separate CMS-588/EFT form is needed for each location and/or bank account payable to the group practice.

If you have not already done so, you MUST submit the CMS-588/EFT form to Cahaba GBA IMMEDIATELY even if you recently updated your information with CIGNA Government Services.

Completed CMS-588/EFT forms should be sent to:

Cahaba GBA Provider Enrollment-TN-Part B P.O. Box 830170 Birmingham, AL 35283-0170

EFT Resources:

• Form CMS-588: http://www.cms.hhs.gov/cmsforms/downloads/CMS588.pdf
• EFT Instructions: http://www.cms.hhs.gov/ElectronicBillingEDITrans/13_EFT.asp
• Tips On Completing the CMS-588: http://www.cahabagba.com/j10/CMS588_tips.pdf

Further Communication
Providers may subscribe to our listserv by visiting the Cahaba GBA website at http://www.cahabagba.com/j10/email_service.htm. Listserv messages will be sent to the providers that will further explain the upcoming EDI changes and what they need to do to prepare for the upcoming transitions.