Recording Savings

80.6 - Recording Savings (Rev. 315, Issued: 05-17-19, Effective: 06-18- 19, Implementation: 06-18-19) 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. The intermediary controls all claims from which it extracts MSP savings and is able to verify all amounts recorded on the CMS-1563. A. MSP Savings File - It retains claims specific key identifying information on each claim counted as savings on the CMS-1563. At a minimum, it records the beneficiary's name, Medicare beneficiary identifier, type/dates of service, claim control number, billed charges and savings amounts reported. B. Savings Data From Non-Medicare Sources - If it records savings from data it obtained from its "private side" records or any other "outside" source, it must be able to extract the same claims specific information noted above, i.e., it must verify that Medicare covered services are involved and be able to calculate "what Medicare would have paid." In addition, it must compare this data with the data contained in its MSP savings file to ensure that savings have not previously been recorded for the same claims. If savings have not previously been taken for the claim, it counts them as savings on the CMS-1563 and enters them into its MSP savings file.