Feds Side with NCMS and Force End to Integra Credit Card Payments

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NCMS to Continue Battle against Abusive Payment Practices

The Centers for Medicare & Medicaid Services (CMS) has instructed claims administrator Integra Employer Health (also known as Integra BMS) that its use of “virtual” credit cards to pay physician claims must end. In a communication to Integra, CMS confirmed that including credit card payment information in the electronic remittance advice is non-compliant with the rules of the ASC X12 835 transaction, which is the standard electronic format that HIPAA requires all payers to use. CMS has requested a Corrective Action Plan from Integra later this month to address these violations and explain how it will make provider payments in the future.

The North Carolina Medical Society (NCMS) first reported Integra’s activities to CMS in January with assistance from the Raleigh Orthopaedic Clinic and MSOC Health, a medical billing and consulting firm based in Chapel Hill.

Read more: North Carolina Medical Society

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