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P.O. Box 4166, Huntington Beach, CA 92605


New Medicare Card – Transition begins April 1, 2018

On April 1, 2018, CMS will start mailing Medicare cards with new Medicare Beneficiary Identifiers (MBIs) to everyone with Medicare. The MBI will replace the Social Security Number (SSN)-based Health Insurance Claim Number for transactions like billing, eligibility status, and claim status after a transition period. You must be ready to accept the MBI beginning […]
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CMS Reveals New Medicare Card Design

Today, the Centers for Medicare & Medicaid Services (CMS) gave the public its first look at the newly designed Medicare card. The new Medicare card contains a unique, randomly-assigned number that replaces the current Social Security-based number. CMS will begin mailing the new cards to people with Medicare benefits in April 2018 to meet the […]
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Medicare Part B Secondary Payer Deductible Issues

Medicare Part B claims processed after Friday, April 1, 2011, for which the beneficiary has a Medicare deductible remaining and Medicare is the secondary payer, are erroneously issuing payment despite the beneficiary’s deductible not being satisfied or despite the total Medicare Allowed Amount being applied towards the deductible. The recovery of overpayments made during this […]
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Ban on Faxed Prescriptions Deadline Moved

Much to the relief of Medicare doctors who rely on computer-generated faxes to send prescriptions to pharmacies, the banning of faxed prescriptions deadline has been moved to Jan. 1, 2012.  Without this delay, those physicians would have to go back to paper-based prescriptions. However, Medicare physicians should focused on CMS’ new e-prescribing program which allows […]
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More Palmetto GBA’s Bureaucracy

It is now 6 weeks into the transition and Palmetto’s Medicare CMS contract transition is still causing financial strain for thousands of clinics and providers.  So we thought it would be fun to track and share some of our own issues. Yes, Palmeto – you’re so special that we’ve created a whole section on our […]
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Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals

If you do any Medicare billing or are interested in becoming a Medicare provider, then you must download the new 10th edition of Medicare Physician Guide: A Resource for Residents, Practicing Physicians, and Other Health Care Professionals that just came out this month. The guide is very thorough and include: Introduction to the Medicare Program […]
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