Last Modified: 11/11/2019
Location: FL, PR, USVI
Business: Part B, Part A
The Medicare Beneficiary Identifier (MBI) submission rates in October for Jurisdiction N are below the target goal of 90%. A breakdown of the current submission rates are:
• Florida: 78% for Part A and 79% for Part B
Puerto Rico: 66% for Part A and 75% for Part B
• U.S. Virgin Islands: 66% for Part A and 75% for Part B
Recall you must submit only the MBI on Medicare claims starting January 1, 2020, regardless of the date of service. If not, Medicare will reject claims submitted with the health insurance claim number (HICN), with a few exceptions. This means your payments will be delayed causing you unnecessary rework to correct and resubmit the claim.
Providers should bill the MBI now to prevent claim and payment impacts in January. Take these actions to obtain the MBI:
Ask your patient for their new Medicare card. If they don’t have it, they have the option to call 1-800-MEDICARE (1-800-633-4227) or print their card from Medicare.gov
Obtain the MBI from First Coast’s MBI lookup tool on our Secure Provider Online Tool (SPOT). If you’re not registered for SPOT, now is the time to do so. Here is how to register for SPOT
• Check your remittance advice for the MBI. The MBI is currently returned on the remittance advice for every claim submitted with a valid and active HICN through December 31, 2019. Starting January 1, 2020, claims will reject at the gateway, therefore you will no longer have the option for obtaining the MBI from the remittance advice.
If you use a clearinghouse or vendor to submit your Medicare claims, verify they are submitting with the MBI. If you send your claims to them with the MBI, but both the HICN and MBI are returned on your remittance advice, then they are not submitting your claims with the MBI.
In our outreach, we speak to many providers who aren’t aware if their vendor is billing the MBI or not. Payment delays will impact you so it’s important you work closely with them to ensure they submit the claims with the MBI.
When you write an order or refer a patient for a service or treatment, use your discretion and share the MBI number with lab or diagnostic facilities you are referring to, especially when they do not see the patient. Also, consider sharing the MBI with skilled nursing facilities for transfers between facilities, and ambulance transport providers when you’re arranging patient transport.
We’ll continue to update you on the JN MBI submission rate as we near the implementation date. Please share this information with your facility or office today and take the appropriate actions to increase your MBI submission rate.
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