MSN Changes to Assist Beneficiaries Enrolled in the QMB Program - Revised

MLN Matters Number: MM11230 Revised
Related CR Release Date: July 3, 2019
Related CR Transmittal Number: R4332CP
Related Change Request (CR) Number: 11230
Effective Date: October 1, 2019
Implementation Date: October 7, 2019 for claims processed on or after this date

Note: CMS revised this article on July 9, 2019, to reflect the revised CR 11230 issued on July 3. In the article, CMS deleted a reference to FISS rejections that was on page 3. Also, CMS revised the CR release date, transmittal number, and the web address of the CR. All other information remains the same.

CR 11230 alerts providers of further modifications to Medicare's claims processing systems to ensure that the Medicare Summary Notice (MSN) appropriately differentiates between Qualified Medicare Beneficiary (QMB) claims that are paid and denied and to show accurate patient payment liability amounts for beneficiaries enrolled in QMB. Please make sure your billing staffs are aware of these modifications.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11230.

Last Updated Jul 11, 2019