Apr 29, 2013

CMS Delays Plan to Deny Non-Enrollees' Medicare Claims

Now you see it, now you don't.

Technical issues have delayed plans by the Centers for Medicare & Medicaid Services (CMS) to begin denying claims for services ordered or referred by a physician who is not enrolled in Medicare. The denials were scheduled for May 1. CMS did not elaborate on the technical issues, or set a new deadline.

Once CMS solves its technical issues, physicians who receive claim denials will need to contact the ordering or referring physician to verify that he or she has enrolled in Medicare to prevent future denials. See TMA's free tool to check your Medicare ordering and referring status.

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