Scope of new Important Message from Medicare
Patient Financial Services Weekly Advisor, September 7, 2007
Q: Do the Important Message from Medicare and the Detailed Notice need to be given to all patients, regardless of the payment source? Do these documents need to be delivered to beneficiaries who have Medicare as a secondary payer? What about those dually eligible for both Medicare and Medicaid?
A: This rule applies to all Medicare beneficiaries, including enrollees in Medicare Advantage (MA) plans and other Medicare health plans subject to MA regulations. Section 1154 of the Social Security Act applies to all patients who are under Medicare, regardless of where Medicare falls in the sequence of payment. Thus, all Medicare beneficiaries, no matter where Medicare falls in the sequence of payers, must receive these notices.
Source: You can find this question and answer, as well as numerous others, on the CMS web site by clicking here.
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