Attention Billers: Medicare Secondary Payer Problem With HETS
Posted on Monday, November 18, 2019 12:51 PM
CMS and Medicare Administration Contractors (MACs) are aware of the problem with HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) data received from the Common Working File (CWF). The MACs’ eligibility systems that receive MSP data from HETS may be affected by this issue. Due to the missing data in HETS, this issue may cause some claims to edit for MSP. CWF MSP information is not affected by this issue. This impacts both home health and hospice providers.
CWF eligibility systems are up to date with MSP eligibility information and providers can continue to use them. No additional provider action required at this time.
Source: NAHC Report
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