tci Medicare Compliance & Reimbursement - 2022 Issue Q1

Industry Notes: Don’t Forget to Check Benes’ 2022 Insurance for Changes

There are annual updates to Medicare coverage for beneficiaries, and it’s critical that your staff review information early in the calendar year to avoid denials later on, one Medicare Administrative Contractor (MAC) advises. Background: Providers must review any coverage changes that the beneficiary has made for the new year and get a copy of the updated Medicare card on file, reminds Part B MAC Palmetto GBA in an alert. For example, “if a patient has a Medicare Advantage Plan or is a Railroad Medicare beneficiary, you must file the Medicare claim to the correct insurer. Use the...

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