We recently blogged regarding CMS releasing their updated NGHP User Guide version 5.3. The primary change outlined in the Summary of Changes in the User Guide was regarding CMS’ SSNRI initiative which will ultimately replace the use of SSN’s with MBIs. For more...
CMS issued a recent alert (click here) warning Responsible Reporting Entities (RREs) to accurately report ORM and ICD-9/ICD 10 codes. CMS intends that effective January 1, 2016 to use this information from Section 111 data to coordinate benefits for Medicare...
Yesterday, CMS issued a technical alert regarding the partial use of SSNs. As mentioned in our prior blog, CMS had recently become aware that the submission of partial SSNs was erroneously causing the return of false positives in matches with regard to Medicare...
In November 2014, pursuant to the SMART Act, CMS implemented a process where RREs could use a partial SSN (last 5 digits) where the RRE was unable to obtain the full SSN when reporting ORM and TPOCs. A recent issue has been identified where RREs have been using only a...
CMS issued a new Technical Alert on November 10, 2014. Click here to read it in its entirety. No action is required by Franco Signor clients. CMS, effective July 1, 2015, will provide RREs with the ability to identify a “Recovery Agent” for conditional payments. To do...
