Progress | Impact
Stepping up to the plate
Jurisdiction J Award is an Incredible Honor
September 2017 brought a historic win for Palmetto GBA.
Following a more than yearlong competitive bidding process, the Centers for Medicare & Medicaid Services (CMS) selected Palmetto GBA as the Medicare Administrative Contractor for Jurisdiction J, which includes the states of Alabama, Georgia and Tennessee. Jurisdiction J represents 6.9 percent of the national Part A/Part B claim-volume workload.
The five-year contract will employ more than 460 administrative and professional employees within Palmetto GBA offices in Alabama and South Carolina. Work includes provider enrollment, outreach and education, Medicare claims processing, appeals, provider customer service, medical review, and audit and reimbursement. According to CMS, Jurisdiction J includes more than 2.5 million Medicare beneficiaries, more than 52,000 physicians and 400 hospitals that serve Medicare patients.
CMS has stringent standards for contract performance and measures execution through a variety of processes, including on-site oversight, data reviews and protocol-driven quality assurance reviews, and independent audits. Our years of delivering innovative solutions for CMS position us well to exceed their expectations and provide countless opportunities for the Palmetto GBA team to grow to new heights.