Gina Cox

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Social Security Number Removal Initiative (SSNRI) now known as “New Medicare Cards”

Posted by Gina Cox on Jul 28, 2017 8:00:00 AM

The Centers for Medicare & Medicaid Services (CMS) announced this week that the Social Security Number Removal Initiative (SSNRI) will now be known as “New Medicare cards.” Regardless of what the program is called, the bottom line is that the old Social Security Number based Health Insurance Claim Number (HICN) will be replaced by a new Medicare Beneficiary Identifier (MBI). This is not exactly new news as the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 required CMS to remove Social Security Numbers from all Medicare cards by April 2019 and CMS announced the upcoming transition earlier year.

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Topics: CMS, Compliance, Claims Processing

CPLs and CPNs are Not Bills

Posted by Gina Cox on May 19, 2017 9:00:00 AM


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Topics: Conditional Payments

RREs and the CRC: It Takes Two to Tango

Posted by Gina Cox on Apr 4, 2017 3:00:00 PM

We have heard various complaints that Responsible Reporting Entities are receiving Conditional Payment Notices with unrelated charges or that the Commercial Repayment Center (CRC) isn’t closing claims, but how much of this is CMS’ fault and how much blame rests on the claims adjuster and the RRE?

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Topics: CRC