tci Medicare Compliance & Reimbursement - 2015 Issue 9
Industry Notes: New Medicare Cards Will Be SSN-Free
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Article Overview
This industry note reviews a set of Medicare-related administrative and payment changes that were being implemented or planned under federal guidance and legislation. It is relevant to billing staff, compliance teams, home health and hospice providers, and revenue cycle professionals who track Medicare program updates, contractor processing behavior, and regulatory requirements affecting provider operations.
Why This Topic Matters
The article brings together policy changes that can affect beneficiary identification, claim adjudication, and provider compliance planning. It is useful for organizations that need to monitor CMS guidance, Medicare legislation, and operational implications for home health agencies and hospices.
Article Sections
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Medicare card identifier changes
Discusses the planned transition away from sensitive beneficiary identifiers on Medicare cards and the legislative basis for the change.
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CMS claim processing and partial payment guidance
Summarizes CMS guidance on contractor handling of claims when coding discrepancies are identified, including references to transmittal-based implementation timing and review by auditors.
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Surety bond requirement for home health agencies
Covers MACRA-related payment updates, the surety bond requirement for home health agencies, rural add-on extensions, and provider reaction through an industry association.
What You Will Learn
- How Medicare card identifier policy was changing under federal legislation
- What CMS guidance said about contractor handling of claims with coding discrepancies
- What MACRA included for home health agencies and hospices
- How industry groups responded to the surety bond requirement
- Which organizations and oversight bodies were referenced in the policy discussion
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Revenue cycle managers
- Home health agency administrators
- Hospice administrators
- Medicare contractors
- Health care consultants
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