Current Medicare News
The Low-Down on Looking Up Medicare MBIs
Now that Medicare has begun replacing patients’ Health Insurance Claim Numbers (HICN) with the Medicare Beneficiary Identifier (MBI), you might be wondering how you’ll find those MBIs.
On Their Way: New Medicare Patient ID Numbers
The New Medicare Card project is part of the Medicare Access and CHIP Reauthorization Act (MACRA) and requires CMS to remove the Social Security number from Medicare cards out of concerns over identity theft.
Medicare-Eligible TRS Retirees Move to New Humana Health Plan
If you were contracted with Humana MA, you will be paid your contracted rates. If you were not contracted with Humana and you elect to see patients covered under the new TRS-Care MA plan, Humana is required to pay you the Medicare-allowed amount.
Can’t Say It Enough: Document, Document, Document
When Medicare delves into claims errors, one stands out above the rest: insufficient documentation.
Medicare Adds Telemedicine Codes
The newly adopted 2018 Medicare Physician Fee Schedule has added a few new codes to the list of telehealth services Medicare will cover.
Ten Services You Can Bill Medicare for Separately From a Surgical Procedure
See which services fall outside “normal,” so you can bill Medicare for them separately from that surgical procedure.
How to Identify Dual-Eligible Patients
You must accept as payment in full the Medicare payment and Medicaid payment for services you provide to a patient enrolled in the Qualified Medicare Beneficiary (QMB) program.
Ways to Avoid a Medicare Appeal
Novitas Solutions reports receiving 1.7 million requests per year to correct minor errors or omissions of Medicare claim information.
Medicare Revalidation: It Begins Again
Medicare provider enrollment revalidation has entered phase two. The Centers for Medicare & Medicaid Services (CMS) has completed its initial round of revalidations under the Affordable Care Act (ACA) and will be resuming regular revalidation cycles — for physicians, that generally means revalidation every five years.
Hospice Certification Form How-to
Unclear about exactly what information a Medicare hospice certification or recertification form must contain? CMS offers guidance on essential elements the form must have.