It’s good to know this about new Medicare ID:
The dashes aren’t used as part of the MBI. They won’t be entered into computer systems or used in file formats. Do not enter the dashes on the claim file. Examples:
MBI as it appears on the Medicare card: 1EG4-TE5-MK73
MBI as it appears in a claim file: 1EG4TE5MK73
More details here.
! The MBI is not required on claims until January 2020, however, providers are encouraged to start using the MBI as soon as they receive it from their patients.
Quality Payment Program: Other Payer Advanced APM Resources
CMS posted two new resources related to Other Payer Advanced Alternative Payment Models (APMs):
Contact: QPP@cms.hhs.gov or 866-288-8292 (TTY: 877-715-6222)
Help Your Medicare Patients
Avoid and Report Scams
Medicare will never call beneficiaries uninvited and ask for personal or private information to get their new Medicare Number and card.
Scam artists may try to get personal information (like their current Medicare Number) by contacting them about their new card. If your Medicare patient is asked for their information, for money, or someone threatens to cancel their health benefits if they don't share their personal information, ask them to call 1-800-MEDICARE (1-800-633-4227).
The new Medicare Number is also called the Medicare Beneficiary Identifier (MBI) and is replacing the current Social Security-based Health Insurance Claim Number (HICN) on Medicare health insurance cards. We will continue to accept the HICN through the transition period.
Find identity theft resources for people with Medicare.
INFLUENZA VIRUS VACCINE CODE UPDATE
Effective on or after January 1, 2019 influenza virus vaccine code 90689 (Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25mL dosage, for intramuscular use) will be payable by Medicare.
MEDICARE NY NEWS:
As of 9/15/2018, the following submission, processing and payment guidelines will apply to E/M claims submitted by JK and J6 providers and groups for services by NPs (Specialty 50) and PAs (Specialty 97):
Beyond implementation of this editing change, NGS will continue to monitor NPP E/M claim and appeal trends, and continue to offer education as needed. We anticipate a highly successful outcome for our NPP providers and will be pleased to address questions during our upcoming webinars, mentioned above.
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