HICN to MBI: What your organization needs to know about the 2018 CMS change

Jessica Smith

The need to move away from utilizing a person’s social security number (SSN) as their Medicare Health Insurance Claim Number (HICN) has been talked about for years in the healthcare industry in an effort to support fraud prevention. As part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, the Centers for Medicare & Medicaid Services (CMS) is now required to discontinue use of the SSN-based HICN to identify Medicare members. Replacing the HICN will be a Medicare Beneficiary Identifier (MBI). The MBI will be a unique identifier, 11 characters long, comprised of numbers and uppercase letters, which is randomly assigned to a Medicare member. CMS will being utilizing the new MBI starting in April 2018. As they transition members from HICNs to MBIs, either identifier is able to be used during this time. The deadline for all members to be transitioned to MBIs is April 2019.

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Provider Network Management New Year’s Resolutions for 2018

Elena Martin

Many of you and your teams are in the frantic, end-of-year trenches renegotiating current provider agreements or working …

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Congress Faces Daunting To-Do List for December

Olga Walther

With the tax reform bill just the tip of the iceberg, Congress faces a daunting agenda for the …

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Three Considerations For Those Entering Medicare Advantage

Regan Pennypacker

Every few months the industry hears news of new players getting into the Medicare Advantage (MA) game. And …

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CMS Expands MA Value-Based Insurance Design Model For 2019

David Sayen

No, the Reagan administration hasn’t come back, but things are looking up in our corner of the world. …

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Risk Adjustment Data Submission Fast Approaching for Medicare Advantage

Jessica Smith

It’s that time of year again when the risk adjustment data submission deadline is fast approaching for Medicare …

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2018 Part D Tiering Exception Rule Changes

Wayne Miller

Among multiple policy changes to the 2018 Prescription Drug Benefit Program proposed, the Centers for Medicare & Medicaid …

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