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CMS: Abbreviate Patient Name "John Doe, Jr." To "John Doe" And You'll Face Denials With New 5010

Published on Sun Apr 25, 2010

5010 form could change everything from your claims submission processes to your patient registration systems. You'll want to start double- and triple-checking your claim forms to ensure that the beneficiary's information is spot-on, or you'll face scores of denied claims once CMS starts requiring the new HIPAA 5010 forms. That's because CMS plans to deny claims filed on HIPAA 5010 forms (which will be the new Medicare universal claim form starting in 2012) on which the beneficiary's name doesn't perfectly match how it's listed on his Medicare I.D. card. "Whenever there is a name suffix, such as 'Jr.' or 'Sr.' abbreviations, etc., it must be included with the last  name," said Veronica Harshman of CMS's Division of Medicare Billing Procedures during an April 28 Open  Door Forum regarding the eligibility component of the HIPAA 5010 form. You can include the suffix either with the patient's last name or in the [...]
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