tci Medicare Compliance & Reimbursement - 2005 Issue 32

PHYSICIANS: CMS Puts Temporary Nix On Name/ID Denials

Medicare gives up on edit until further revision.Pressure from thousands of providers has led the Centers for Medicare and Medicaid Services to reverse an edit that was causing massive denials.Since CMS instituted an edit requiring providers to match Medicare beneficiaries' names and Medicare ID numbers exactly, some providers have had as many as 30 percent of their claims denied. But now CMS officials say the edit is being deleted for now. Officials say they decided the edit was "too restrictive," perhaps because of the excessive number of denials. CMS hasn't announced the change publicly, except to...

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