tci Medicare Compliance & Reimbursement - 2006 Issue 9

HIPAA: Medicare Cracks Down On Secondary Payer Billing And Reimbursement

How to get reimbursement for a paper claim that a contractor has denied.Physicians, suppliers and providers requesting reimbursement from Medicare secondary payers have two new changes to prepare for. The Centers for Medicare & Medicaid Services announced changes to the Administrative Simplification Compliance Act Feb. 2 in a Medlearn Matters article. The resulting changes will go into effect on July 1:1. To comply fully with the Health Insurance Portability and Accountability Act's regulations, Medicare will allow MSPs to reject inbound claims if the primary payer's payments and adjustments don't match the providers' bill amounts at the line level...

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