tci Part B Insider - 2005 Issue 28

EDITS: Say Goodbye To Nickname-Related Denials

Medicare gives up on name/Id edit-for nowPressure from thousands of providers has led the Centers for Medicare & Medicaid Services to reverse an edit that was causing  massive denials.Since CMS instituted an edit requiring providers to match Medicare beneficiaries' names and Medicare ID numbers exactly, some providers have had as many as 30 percent of their claims denied. But now CMS officials say the edit is being deleted for now.Officials say they decided the edit was "too restrictive," perhaps because of the excessive number of denials. CMS hasn't announced the change publicly, except to revoke a...

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