tci Medicare Compliance & Reimbursement - 2013 Issue 8

Use This 5-Step Checklist to Simplify Your Secondary Claim Issues

Start with all insurance cards, not just Medicare. If your practice’s internal audits show errors from billing Medicare Secondary Payer (MSP) claims as primary, follow these important tips for filing MSP claims, outlined in MLN Matters article SE1217. 1. Verify all of the patient’s insurers. Get copies of all the patient’s insurance cards when they come to your practice. Sometimes a patient might present his Medicare identification card, but not the cards for additional payers. This could cause unnecessary denials if you’re inappropriately billing Medicare as primary. The opposite situation can also throw a kink...

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