Topped Out Measures, MBI Replacing Social Security Numbers on Medicare Insurance Cards

How will Topped Out Measures Affect Your Practice?

Starting this year, your practice may not be able to receive the maximum number of points on some Quality Payment Program measures as they are "topped out" by CMS. CMS has already chosen measures for 2018 that will cap the maximum points to seven, instead of the standard 10 points.

To learn which measures will now be capped and what it means for the future, see here.

MBI Replacing Social Security Numbers on Medicare Insurance Cards

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires CMS to remove Social Security Numbers (SSN) from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on new Medicare insurance cards.

What does this mean for the practice?
  • Beginning April 2018, Medicare will begin distributing new cards with MBIs to individuals with Medicare coverage.
  • CMS plans to have a transition period where either the HICN or the MBI may be submitted. The transition period will begin no earlier than April 1, 2018, and run through December 31, 2019.
  • Practices should contact their practice management vendor to see if their fields are compatible with the new identifiers.

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