tci Part B Insider - 2010 Issue 16

MEDICARE FORMS: CMS: Abbreviate Patient Name "John Doe, Jr." to "John Doe" And You'll Face Denials With New 5010

5010 form could change everything from your claims submission processes to your patient registration systems. You'll want to start double- and triple-checking your claim forms to ensure that the beneficiary's information is spot-on, or you'll face scores of denied claims once CMS starts requiring the new HIPAA 5010 forms. That's because CMS plans to deny claims filed on HIPAA 5010 forms (which will be the new Medicare universal claim form starting in 2012) on which the beneficiary's name doesn't perfectly match how it's listed on his Medicare I.D. card. "Whenever there is a name suffix, such as 'Jr...

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