Submissions Using Health Insurance Claim Number Will Be Rejected January 1

The Centers for Medicare & Medicaid Services (CMS) has announced it will reject claims submitted with the Health Insurance Claim Number, with very few exceptions, starting January 1, 2020. All eligibility transactions using the Health Insurance Claim Number will be rejected after that date, with no exceptions. Providers must use the Medicare Beneficiary Identifier (MBI).…

CMS Proposes Changes to Medicare Appeals Regulations

On October 3, 2018, The Centers for Medicare & Medicaid Services (CMS) issued a propose rule that fine-tunes several of the regulations governing the Medicare appeals process. Removal of Requirement That Appellants Sign Appeal Requests CMS is proposing that appellants in Medicare Parts A and B claim and Part D coverage determination appeals be allowed…

New Medicare Cards – Next Wave Begins, Use MBI like HICN

As loyal NAHC Report readers know well by now, the Centers for Medicare & Medicaid Services (CMS) began issuing a new Medicare Card in April, with new Medicare Beneficiary Identifier (MBI) replacing the Social Security Numbers. The cards, which were mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, will be mailed out…

New Medicare Card Update from CMS

As you know from previous editions of NAHC Report, there will be new Medicare cards sent out to beneficiaries, with the old Social Security Number identifier replaced with a new Medicare Beneficiary Identifier (MBI). The cards will be sent out on a flow basis, based on geographic location and other factors. This is being done…