Academic journal article Health Care Financing Review

Beneficiary-Friendly Medicare Summary Notice Nears Implementation

Academic journal article Health Care Financing Review

Beneficiary-Friendly Medicare Summary Notice Nears Implementation

Article excerpt

HCFA has initiated a series of projects designed to improve the service provided to HCFA's primary customer - the Medicare beneficiary. One of the initiatives, the Medicare Summary Notice (MSN) Design Project, began in April 1994. The proposed MSN will be a customer-friendly, simplified notice informing beneficiaries of payment determinations made on their health care related services.

The MSN will replace the carrier Explanation of Medicare Benefits (EOMB) Part B notice, the outpatient EOMB, and the Part A Medicare Benefits Notice currently issued to Medicare beneficiaries. These notices of claims processed are among the most visible aspects of the Medicare program. Approximately 700 million claims are processed on behalf of 37 minion beneficiaries annually. The MSN will reduce the cost of printing and mailing multiple notices each month and will serve as a reference point for beneficiary inquiries.

Beneficiaries will find the following new features in the proposed MSN: a prominent customer-service information box; a fraud alert as well as other Medicare informational messages; a note section stating simply the actions taken on their Medicare claims; an area to request an appeal right on the notice, etc. …

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