tci ED Coding & Reimbursement Alert - 2018 Issue 5

Billing: Perfect Your Medicare Secondary Payer Claims With These Tips

It's the practice's responsibility to know which payer to bill first, Part B rep says. Picture this: A patient presents to your front desk with a valid Medicare card. You report the claim for her services, only to find that the service is denied because Medicare should not have been the primary payer. If this has happened to your staff before, then perhaps it's time to review your Medicare Secondary Payer (MSP) prowess. What it is: The term "Medicare Secondary Payer" refers to situations where another payer has primary payment responsibility for care provided to a Medicare beneficiary, said...

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