CMS releases eligibility fact sheet: 3 notes

CMS released a fact sheet to help providers check patients' Medicare eligibility.

Three notes:

  • The fact sheet advises providers to regularly review patients' eligibility information to ensure proper billing for Medicare-covered supplies and services.
  • Patients may be eligible for Medicare if they are 65 or older, under age 65 with certain disabilities, or of any age and have end-stage renal disease.
  • Providers can check patient eligibility through a Medicare Administrative Contractor online provider portal or interactive voice response system, the HIPAA Eligibility Transaction System, or billing agencies, clearinghouses or software vendors.

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