CMS Issues Statement Regarding MBIs, Claims

Late last week, the Centers for Medicare & Medicaid Services (CMS) issued a statement indicating the following:

Claims submitted for processing with a Medicare Beneficiary Identifier (MBI) that were returned for valid reasons currently cannot be corrected through the Fiscal Intermediary Shared System (FISS) Direct Data Entry (DDE) system. We will resolve this issue no later than Tuesday, July 3, 2018. To avoid delays in payment, submit a new claim to your Medicare Administrative Contractor if an MBI claim was returned to you.

According to the American Health Care Association (AHCA), CMS’ statement means that if a skilled nursing facility (SNF) has begun using MBIs and submits claims with an incorrect MBI, the claim will deny, and a new claim must be submitted. In the denial, the FISS only will indicate that the claim has been returned for invalid reasons. A SNF that has not begun using MBIs or submitted claim using the correct MBI, will not be impacted.

Posted in Medicare