decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Medicare Secondary Payer Billing Rules / How Medicare Figures Your Pay
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare secondary payer billing rules and the basic method Medicare uses to figure its payment when a primary insurer is involved. It is intended for physicians, billing staff, and coders who need a high-level understanding of coordination of benefits and how secondary payments are calculated under Medicare Part B. The discussion uses a simple payment example to illustrate the general process.
Why This Topic Matters
Understanding Medicare secondary payer rules helps billing teams evaluate how primary and secondary payments interact and avoid confusion when coordinating claims with other insurers.
What You Will Learn
- How Medicare secondary payments are generally calculated
- How assigned and unassigned claims are treated at a high level
- How primary payer amounts and Medicare allowable amounts relate in secondary payment calculations
- How a simple payment example illustrates the Medicare secondary payer process
Who Should Read This
- Physicians
- Medical billers
- Medical coders
- Revenue cycle staff
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com