December 18, 2019 01:29 pm News Staff – Less than two weeks remain in the nearly two-year transition period during which family physicians have been able to continue billing and conducting other Medicare transactions using the health insurance claim number currently shown on beneficiaries' Medicare cards.
Starting Jan. 1, health care professionals must submit claims -- regardless of service date -- using the randomly generated Medicare Beneficiary Identifier shown on the cards CMS has been distributing to beneficiaries since April of this year.
AAFP members will recall that the primary rationale for this change was to safeguard Medicare beneficiaries' identities by removing the Social Security number-based HICNs from Medicare cards. Additional background on the move to the new Medicare cards can be found on CMS' MBI home page.
CMS has outlined a number of specific exceptions to this directive. For Medicare plans, appeals, adjustments and certain other processes will continue to use HICNs. Fee-for-service claim exceptions also include appeals, as well as audits, claim status queries and more.