Industry Notes

Why This Topic Matters

The topics affect billing operations, documentation readiness, enrollment/participation decisions, and hospice claim completion. Readers who work with Medicare claims or contractor education materials can use this overview to identify which operational updates may require follow-up.

Article Sections

1. CMS ‘Regrets Inconvenience’ of Erroneously Requesting Overpayments

   Discusses a CMS issue involving incorrect identification of beneficiaries and resulting recovery activity. The section addresses the agency’s response and its efforts to review and correct the data process.

2. CMS Clarifies Rules For Opting Out Of Medicare

   Summarizes CMS guidance on Medicare opt-out paperwork and related contractor instructions. The section outlines the general affidavit filing requirements described in an MLN Matters article.

3. 99310: Claims Review Reveals Missing Signatures

   Reviews findings from a Part B MAC medical review related to a nursing facility service code. The section highlights broad documentation issues identified during claim review.

4. Check Out This Hospice Billing Guidance

   Covers an updated hospice billing resource from a Medicare contractor. The section notes that the guide provides claim submission instructions and field-level billing guidance.