Medicare Secondary Payer Training

module 



MSP Training PDFs:


  1. Introduction to Medicare - 22 slides/pages
    The Introduction to Medicare course provides background and history on Medicare, a comparison of Medicare and Medicaid, an explanation of entitlement, including age, disability and End Stage Renal Disease (ESRD), and concludes with the parts of Medicare.
  2. MSP Overview - 28 slides/pages
    The MSP Overview course begins with a definition of Medicare Secondary Payer. This course also explores the relationship of the provisions of Medicare Secondary Payer with State law. Next, it provides information on the two broad categories of MSP, Group Health Plan (GHP) and Non-group Health Plan (NGHP), and for a final topic, addresses Coordination of Benefits.
  3. MSP Working Aged - 25 slides/pages
    This course will provide an overview of the MSP provisions of the Social Security Act for beneficiaries entitled to Medicare based on age, provide guidelines for the small employer exception, provide examples showing when Medicare would be the secondary payer, and provide employer and Group Health Plan (GHP) guidelines for Working Aged MSP.
  4. Medicare Secondary Payer Disability - 22 slides/pages
    This course provides an overview on the MSP provisions of the Social Security Act for beneficiaries entitled to Medicare based on a disability, provides guidelines in regards to employer size considerations, provides examples showing when Medicare would be the secondary payer, and provides employer and Group Health Plan (GHP) guidelines.
  5. MSP End Stage Renal Disease (ESRD) - 23 slides/pages
    This course will provide an in-depth discussion of the MSP Guidelines for persons entitled to Medicare because of End Stage Renal Disease (ESRD). Multiple examples of ESRD MSP situations are provided. The course then addresses MSP as it relates to those individuals that have dual entitlement to Medicare, (i.e., entitled to Medicare for more than one reason), e.g., ESRD and Working Aged, or ESRD and Disability. Again, multiple examples are provided to assure clarity of the guidelines.

source  CMS.gov

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