1. “ Welcome to Jurisdiction 10” Workshop Presented by Cahaba Government Benefit Administrators ®, LLC J 10 A/B MAC Provider Outreach and Education April 21, 2009 1

2. Meeting Agenda  History of Cahaba  Medicare Contracting Reform  J10 Transition Georgia Dark Day Provider Enrollment Medical Review Medicare Secondary Payer Electronic Data Interchange (EDI) Provider Contact Center Medicare Resources 2

3. The History of Cahaba GBA ®,LLC 3

4. Alabama Part A and Part B since 1966 Cahaba GBA Expansion 4

5. Georgia Part B Awarded 1996 Cahaba GBA Expansion 5

6. Iowa and South Dakota Part A including RHHI Awarded 1999 6

7. Mississippi Part B Awarded 2000 Mississippi Part B Awarded 2000 Cahaba GBA Expansion 7

8. Cahaba Government Benefit Administrators ®, LLC  Part A Intermediary for AL  Part B Carrier for AL, GA & MS  Part A RHHI for 16 Northern/Midwest states  600+ employees  Three (3) office locations: Birmingham, AL; Savannah, GA; Des Moines, IA  Corporate office located in Birmingham, Alabama 8

9. Medicare Modernization Act Signed into law on December 8, 2003 Largest amendment to the Social Security Act since the inception of Medicare Provides several administrative, operational and functional changes Includes CMS’ vision for contractor reform 9

10. Title XVIII 1816 and 1842 of SSA Beneficiary and provider multiple contractors Either party can terminate Contracts and agreements year to year MAC Section 1874a of SSA Single contractor for beneficiary and provider Only government may terminate Contracts will last a maximum of five years 10 Evolution of Medicare Contracting Reform

11. Medicare Administrative Contractors A/B Jurisdiction Map 11

12. Jurisdiction 10 MAC Award  Cahaba GBA awarded contract on January 7, 2009  New Jurisdictions to Cahaba GA Part A TN Part A and B  Awaiting notification on the MS Part B workload 12

13. WHAT SHOULD I DO BEFORE CUTOVER? 13 FISCAL INTERMEDIARY TO A/B MAC

14. Transfer of Georgia Data  Dark day on May 4, 2009  Customer Service and claims system will not be available  Normal business operations will resume on May 5, 2009 14 J10 Transition

15. Daily Payment Cycle  Payments made on a daily basis  First payment processed May 4, 2009  PIP payments paid bi-weekly 15 J10 Transition

16. Provider Enrollment CMS 588 Electronic Funds Transfer  New CMS 588 form MUST be completed  Original signature is required  Acknowledgement letter will be sent  Download form at: www.cms.hhs.gov/cmsforms/downloads/CMS588.pdf J10 Transition 16 Submit forms to: Provider Enrollment PO Box 830867 Birmingham, AL 35283-0867

17. Medical Review  Future Effective Local Coverage Determinations (LCDs)  No Intermediary Advisory Committee meeting  View LCDs at www.cahabagba.com/j10/lcds.htm 17 J10 Transition

18. Medicare Secondary Payer (MSP) Contact COBC regarding MSP issues1-800-999-1118or TTY/TDD: 1-800-318-8782 MSP Admission Questionnairewww.cms.hhs.gov/ProviderServices/Downloads/pro_othertool.pdf 18 J10 Transition

19. Vehicles of Communication  J10 Transition Newsline  Listserv messages  Face-to-Face events  Open Door Forums (ODF)  POE Advisory Group meeting 19 J10 Transition

20. Stay Connected www.cahabagba.com/j10 20

21. Electronic Data Interchange (EDI)  New FISS and DDE passwords and IDs not required  Third party vendors  IVANS 1-800-548-2690 ext. 3750  VisionShare 1-888-895-2649  Other approved vendors 21 J10 Transition

22. Electronic Data Interchange  Cahaba Secure File Transfer Protocol Server (FTP) www.cahabagba.com/j10/edi/edi ftp instructions.pdf  New Submitter IDs and Password Letters mailed April 1, 2009  Testing not required 22 J10 Transition

23. Electronic Data Interchange (EDI) Help Desk Support Telephone Us 866-582-3253 Fax Us 205 402-5706 Email Us PartAEDIServices@cahabagba.com Write Us Cahaba GBA EDI Services PO Box 12967 Birmingham, AL 35202 23

24. Provider Contact Center  Enterprise Call Center Birmingham, Alabama Savannah, GA  Voice Response Enhancement or IVR System Speech recognition coming soon  Medicare Beneficiary – 1 800 Medicare (633-4227) 24 J10 Transition

25. CMS Resources  Medicare Administrative Contractor www.cms.hhs.gov/MedicareContractingReform  MLN Matters Article SE0837 www.cms.hhs.gov/MLNMattersArticles/downloads/SE0837.pdf  Change Request 6436 www.cms.hhs.gov/transmittals/downloads/R467OTN/pdf  CMS Change Request 5979 www.cms.hhs.gov/Transmittals/downloads/R33OTN.pdf 25 J10 Transition

26. Questions Please complete your general inquiry feedback form. 26

27. Thank You! 27 Cahaba GBA, LLC J10 A/B MAC