Outpatient Facility Coding Alert - 2019 Issue 9
Physician Notes: Remind Your BAs and Vendors About New MBIs
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Article Overview
This article explains a Medicare claims transition issue affecting physicians, billing teams, vendors, and clearinghouses. It focuses on the move to Medicare Beneficiary Identifiers, the role of CMS guidance, and the risk of claim rejection when older identifiers are still being used after the transition deadline. The note is relevant to practices checking remittance advice and coordinating with business associates to reduce avoidable claim problems.
Why This Topic Matters
It helps practices and billing partners identify a common source of Medicare claim rejection during the identifier transition and understand why vendor workflow review matters.
What You Will Learn
- How the Medicare identifier transition affects claim submission workflows
- Why vendor and clearinghouse billing processes matter during the transition
- What remittance advice may indicate about identifier usage
- How CMS guidance frames the transition timeline for claims submission
Who Should Read This
- Physicians
- Medical billers
- Coders
- Practice managers
- Revenue cycle staff
- Billing vendors
- Clearinghouses
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