[QRDA-326] Identification of Medicare HIC numbers required for reporting Created: 06/07/16 Updated: 12/22/20 Resolved: 07/12/16 |
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| Status: | Resolved |
| Project: | QRDA Issue Tracker |
| Component/s: | None |
| Type: | Certification | Priority: | Minor |
| Reporter: | Michelle Hinterberg (Inactive) | Assignee: | Yan Heras |
| Resolution: | Done | Votes: | 0 |
| Labels: | None | ||
| Issue Links: |
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| Solution: | We have received confirmation from the Division of Medicare Enrollment Coordination that all Medicare beneficiaries are assigned a HIC number. Therefore, for the 2016 reporting period, the PQRS system will continue to perform the same validation performed for the 2015 reporting period, which is: The PQRS system will reject QRDA-I files where any payer includes any Medicare SOP code (all SOP codes listed below), but they don’t provide a HIC number: 1 MEDICARE 11 Medicare (Managed Care) 111 Medicare HMO 112 Medicare PPO 113 Medicare POS 119 Medicare Managed Care Other 12 Medicare (Non-managed Care) 121 Medicare FFS 122 Medicare Drug Benefit 123 Medicare Medical Savings Account (MSA) 129 Medicare Non-managed Care Other 19 Medicare Other |
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| Description |
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Comments were added to |
| Comments |
| Comment by Michelle Hinterberg (Inactive) [ 08/10/16 ] |
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Can you provide any update regarding HIC # requirements as it relates to EH/IQR? |
| Comment by QRDA-ICF [ 06/07/16 ] |
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Your ticket is being reviewed by our experts, we will provide you feedback as soon as possible. Thank you for your patience. |