Is Your EMR Prepared to Stay CMS-Compliant?

Is Your EMR Prepared to Stay CMS-Compliant?

Have you heard the news? Starting in 2020, every current Medicare ID number, also known as a Health Insurance Claim Number (HICN), will become non-compliant with CMS standards.

Currently, Medicare ID numbers consist of the patient’s social security number with a suffix at the end for their relationship to the insured. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 requires that CMS change these numbers by April 2019. The new numbers are called Medicare Beneficiary Identifiers (MBI) and do not contain the patient’s SSN.

Starting in April 2018, CMS is going to start mailing people with Medicare a new insurance card with their new MBI. However, practices and EMR users will not be forced to immediately comply all at once.

CMS will have a transition period where either HICN or MBI numbers will both work on claims. This transition period will run from April 1st, 2018 to December 31st, 2019. This means that providers will have until the end of 2019 to fully transition all of their Medicare patients’ ID numbers from HICN to MBI.

What should practices be on the lookout for? Starting in April, Medicare patients will start coming into your clinic with their new ID cards containing an MBI number. Replace the existing Insured ID number in the case insurance information with the new MBI number. Continue this process until all HICN numbers have been replaced.

In preparation for this change, TheraOffice is already at work to assure customers that they will have a simple, smooth transition process for maintaining CMS compliance. In order to assist with this, in 2019, TheraOffice will be releasing an update that includes a new alert, letting the user know the patient being viewed has an outdated HICN number still in their case insurance. This will help enforce a successful transition on any remaining patients that have not yet been updated within the system.

Our goal at TheraOffice is to always provide customers with the necessary tools to maintain full compliance within today’s ever-changing healthcare industry. It’s something we take immense pride in as your clinic’s success is always our top priority. As we get closer to 2018, keep an eye out for more information regarding this new requirement. If you have any additional questions or concerns on this matter, please don’t hesitate to contact us directly so we can ease your mind.