tci Medicare Compliance & Reimbursement - 2005 Issue 26

Physicians: Medicare Cards Must Match Other Patient ID

Don't neglect middle names, or claim may be shunned.Physicians in offices that doesn't always check Medicare beneficiaries' cards to verify the information, take note: Claims with bad names (or other incorrect personal info) may face denials. Physicians are facing denial rates as high as 50 percent due to the new Medicare requirement to match patients' names and other identifiers to their Medicare cards, providers claimed in Medicare's June 7 Physician Open Door Forum. Docs Better Find Out If It's 'Bobby' Or 'Robert' In some cases, providers may have the patient's correct name, but the patient is...

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