tci Medicare Compliance & Reimbursement - 2006 Issue 34
MEDICARE SECONDARY: How To Cope With The Secondary Claims Transition
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Article Overview
This article discusses the operational impact of carriers requiring electronic submission of Medicare secondary claims. It is aimed at providers, billers, coders, and practice staff who need to understand common implementation obstacles, vendor readiness, payer coordination issues, and the possibility of requesting more time to transition.
Why This Topic Matters
The article helps practices anticipate disruptions when Medicare secondary billing requirements change and highlights the kinds of workflow and software issues that can affect claim submission readiness.
What You Will Learn
- Why some practices are being asked to change how Medicare secondary claims are submitted
- Common software and workflow obstacles that can interfere with electronic secondary claim submission
- How practices may seek additional time to complete the transition
- Why coordination with primary insurers can affect Medicare secondary billing readiness
Who Should Read This
- Medical billers
- Medical coders
- Practice managers
- Revenue cycle staff
- Clinic administrators
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