On August 28, 2018 the Centers for Medicare and Medicaid Services awarded the Pricing, Data Analysis and Coding (PDAC) contract to Palmetto GBA. The PDAC contractor is responsible for providing suppliers and manufacturers with assistance in determining which Healthcare Common procedure Coding System (HCPCS) code should be used to describe Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) items for the purpose of billing Medicare.
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Palmetto GBA has achieved a Capability Maturity Model Integration (CMMI) Maturity Level 4 rating. CMMI is a globally-recognized set of best practices that enable organizations to improve performance, key capabilities, and critical business processes.
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CGS Administrators, LLC (CGS) — a provider of administrative and business services for the Medicare and Medicaid communities, commercial health plans, health care providers and medical equipment suppliers — earned ISO (International Organization for Standardization) 9001:2015 certification after an independent registration audit.
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The Celerian Group, an organization of companies that provides administrative, information technology, training and program management services to state and federal government agencies, recently acquired Karna LLC, an Atlanta, Ga-based organization. The Celerian Group is a division of BlueCross BlueShield of South Carolina.
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The South Carolina Department of Health and Human Services has awarded the Medicaid Division of the Celerian Group a Long Term Care (LTC) Eligibility Assistance contract.
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