Billing for Covered Services

70.2 - Billing for Covered Services (Rev. 4247, Issued: 03-01-19, Effective: 04-01-19, Implementation: 04-01 -19) The term Medicare beneficiary identifier (Mbi) is a general term describing a beneficiary’s Medicare identification number. For purposes of this manual, Medicare beneficiary identifier references both the Health Insurance Claim Number (HICN) and the Medicare Beneficiary Identifier (MBI) during the new Medicare card transition period and after for certain business areas that will continue to use the HICN as part of their processes. Upon cessation of a SNF’s participation in the program, or when a SNF is not receiving payments for new admissions, the RO is supplied with the names and Medicare beneficiary identifiers of Medicare beneficiaries entitled to have payment made on their behalf for services in accordance with §80.1. SNFs no longer participating in the program, or those under a denial of payment for new admissions, continue to bill for covered services per §80.l. They continue to submit “no- payment” death, discharge and reduction from SNF level of care bills for Medicare beneficiaries admitted prior to the termination of their agreement, or prior to the denial of payments for new admissions.