tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Industry Note: Know These Important MBI Updates

Just because the feds recently issued Medicare Beneficiary Identifiers (MBIs) to beneficiaries doesn’t mean their MBI can’t change. Beneficiaries or their authorized representatives can ask to change their MBIs for example, if the MBI is compromised, the Centers for Medicare & Medicaid Services (CMS) explains. Plus, the agency can also change an MBI. Tip: “If you get an eligibility transaction error code (AAA 72) of ‘invalid member ID,’ your patient’s MBI may have changed,” CMS instructs providers. In that case, you can “do a historic eligibility search to get the termination...

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