tci Medicare Compliance & Reimbursement - 2021 Issue Q2

Reader Questions: Ensure Patient Data Is Valid and Up to Date

Question: Our practice recently had a Medicare claim denied for invalid patient information. What’s going on with this? Georgia Subscriber Answer: If you’ve ever gotten a claim denied for invalid patient information and you’re sure you submitted the correct Medicare Beneficiary Identifier (MBI) to the payer, you’re not alone. If this happens, you should first verify the spelling of the patient’s name, and that the patient’s name and MBI match, experts say. One way this can happen is if a patient loses their Medicare card. In the past, they’d get a new...

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