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G2 News-At-A-Glance: CMS Redesigns Summary Notices

by | Feb 23, 2015 | CMS-lca, Essential, Lab Compliance Advisor

The Centers for Medicare and Medicaid Services (CMS) has redesigned its Medicare Summary Notice to help seniors and people with disabilities spot potential fraudulent claims. According to CMS, the new notice will make it easier for Medicare beneficiaries to understand their benefits and how to file an appeal when a claim is denied. It will also help them spot claims for services that they never received. The new notices will be sent to beneficiaries on a quarterly basis with the first of the new notices going out in the coming quarter. “A beneficiary’s best defense against fraud is to check their Medicare Summary Notices for accuracy and to diligently protect their health information for privacy,” said Peter Budetti, CMS deputy administrator for program integrity, who adds that Medicare beneficiaries and caregivers are critical partners in the fight against fraud.

The Centers for Medicare and Medicaid Services (CMS) has redesigned its Medicare Summary Notice to help seniors and people with disabilities spot potential fraudulent claims. According to CMS, the new notice will make it easier for Medicare beneficiaries to understand their benefits and how to file an appeal when a claim is denied. It will also help them spot claims for services that they never received. The new notices will be sent to beneficiaries on a quarterly basis with the first of the new notices going out in the coming quarter. “A beneficiary’s best defense against fraud is to check their Medicare Summary Notices for accuracy and to diligently protect their health information for privacy,” said Peter Budetti, CMS deputy administrator for program integrity, who adds that Medicare beneficiaries and caregivers are critical partners in the fight against fraud.

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