CMS Update- MMSEA Section 111
CMS has made the following updates to the MMSEA section of the CMS website: http://www.cms.gov/
September 30, 2010
- Posted the September 22, 2010 NGHP Town Hall Teleconference Transcript to the NGHP Transcripts section page.
- Moved the January 28, 2010 NGHP
Malpractice – Medicare will not pay for “Hospital Acquired Conditions a.k.a “Never Events”
Insurers Request for Plaintiff Social Security Number
CMS finds insurers requests for SSN’s appropriate for Section 111 MMSEA purposes: http://www.cms.gov/MandatoryInsRep/Downloads/RevisedCollectionSSNEINs.pdf
In order for CMS to accurately coordinate payments made by Medicare to ensure appropriate payment, Medicare requires the HICN (Health Insurance Claim Number) or the SSN and …
Medicare Denied Claims and Conditional Payments
Medicare claim denial is unfortunately a common problem that Medicare beneficiaries are faced with. Medicare has the highest denial rate of any insurer pursuant to the 2008 National Health Insurer Report Card commissioned by the American Medical Association (AMA, www.ama-assn.org…
Ask a Lien Professional – Provider refuses to bill Medicaid!
Question: I have a case where the hospital has a claim that needs to be submitted to Medicaid for payment. However, since the hospital knows that there is a liable third party, they are refusing to submit the claim to …
