decisionhealth Newsletters, Answer Books - 2009 Issue 9 (September)
Medicare Secondary Payer Billing Rules / Black Lung Disease
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Article Overview
This article covers Medicare Secondary Payer billing considerations for patients with black lung disease. It outlines how responsibility can shift between Medicare and the federal Black Lung program administered through the Department of Labor, and notes that some durable medical equipment may be included. The article is useful for billing staff, coders, and reimbursement teams who need a general understanding of payer coordination, claim routing, and related filing procedures.
Why This Topic Matters
Correct payer sequencing is important when black lung-related services may be covered outside Medicare. The article helps readers understand when Medicare may be secondary and when claims may need to be directed through the federal Black Lung program or related Department of Labor processes.
What You Will Learn
- How Medicare secondary payer considerations apply when black lung disease is involved.
- The general role of the Department of Labor and the federal Black Lung program in claim handling.
- That some services or equipment may fall under separate coverage administration.
- That billing may depend on whether a service is related to black lung disease or handled under another payer arrangement.
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle personnel
- Claims processors
- Compliance staff
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