Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Medicare Beneficiary Identifiers required for billing by 2019

New Medicare cards

The Centers for Medicare and Medicaid Services has begun switching out old Medicare cards and numbers for new ones to make information less vulnerable to identity thieves.

The new, completely random number-letter combinations, Medicare Beneficiary Identifiers (MBI), replace the old Social Security number–based Health Insurance Claim Numbers (HICN).

The switch began on April 1, and is expected to take about a year as the CMS processes about half a dozen states at a time.

People enrolling in Medicare for the first time are also receiving the new cards, no matter where they live.

Both HICNs and MBIs can be used on all billing and Medicare transactions from now until the end of 2019; after that, only claims with MBIs will be accepted.

Read the article.

This Week's Must Reads

Liquid biopsy aids assessment in advanced imatinib-resistant GIST, George S et al. ASCO 2018. Abstract 11511.

Rapid therapy changes fall short for metastatic GIST, Serrano-Garcia C et al. ASCO 2018, Abstract 11510.

Estimated conditional OS shows upfront TKI benefit in mRCC, Kang M et al. J Urol. 2018 June 22. doi: 10.1016/j.juro.2018.06.030

Indolent course found in rare clear cell papillary RCC , Chen W-J et al. J Chinese Med Assoc. 2018 July 20 doi: 10.1016/j.jcma.2018.04.005

Must Reads in Practice Management

Private Insurance Linked to Better Outcomes in Follicular Lymphoma, Goldstein JS et al. Blood. 2018 Jul 24. doi: 10.1182/blood-2018-03-839035.

CMS freezing of risk adjustment payments predicted to drive up insurance premiums, United States District Court Ruling Puts Risk Adjustment On Hold

If confirmed as Supreme Court justice, Kavanaugh could upend ACA, Case references, including Seven-Sky v. Holder

Software boosts accuracy of colonoscopies, Tripathi PV et al. DDW 2018 (Digestive Disease Week, 2018). Presentation 133.