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How Does the Centers for Medicare & Medicaid Services (CMS) Support the MSP Program?

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How Does the Centers for Medicare & Medicaid Services (CMS) Support the MSP Program?

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The Centers for Medicare & Medicaid Services (CMS) established the Coordination of Benefits (COB) Contractor to collect, manage, and maintain information on Medicare’s Common Working File (CWF) regarding other health insurance coverage for Medicare beneficiaries. What is the Clinical Laboratory’s Role in the MSP Program? All providers must submit accurate beneficiary health insurance information to assist CMS in maintaining accurate beneficiary records. Specifically, clinical laboratories have two primary responsibilities for the collection and coordination of beneficiary insurance information: • Updating insurance profiles prior to submitting laboratory claims. For laboratories that do not see the beneficiaries, the clinical laboratory should contact the beneficiary to obtain his or her health insurance information. The Health Insurance Portability and Accountability Act (HIPAA) permits communication of beneficiary insurance information between a referring/ ordering provider and a cli

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