decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Medicare_Secondary_Payer_Billing_Rules / Your_carrier_must_tell_you_about_MSP_mistakes
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Article Overview
This article covers a short Medicare secondary payer billing topic aimed at providers and billing staff. It explains the general process when a carrier identifies a claim that should have been paid differently, notes the role of the coordination of benefits contractor and the common working file, and points readers to the appropriate contact path for individual claim issues versus general MSP information. It also includes a practical CMS suggestion related to how to communicate payment responsibility on a claim.
Why This Topic Matters
Understanding this notice process helps billing staff recognize when a Medicare secondary payer issue has been identified and know where to seek follow-up. It is relevant to practices that handle Medicare claims, claims corrections, and coordination-of-benefits matters.
What You Will Learn
- How Medicare secondary payer mistake notices are handled at a general level
- Which organizations are involved in tracking and updating MSP-related claim information
- Where to direct questions about individual claim problems versus general MSP information
- What broad information CMS suggests including when indicating Medicare responsibility on a claim
Who Should Read This
- Medical billers
- Coding professionals
- Practice managers
- Revenue cycle staff
- Compliance staff
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