Outpatient Facility Coding Alert - 2008 Issue 7
BILLING: New Software May Be the Answer to Your Medicare Secondary Payer Woes
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Article Overview
This article discusses the practical difficulties practices encounter when trying to submit Medicare secondary payer claims electronically and how billing software, clearinghouses, and carrier-specific tools may be involved. It is aimed at billing staff, practice managers, and revenue cycle professionals who deal with Medicare coordination-of-benefits workflows and payer submission requirements.
Why This Topic Matters
Understanding this topic can help practices evaluate whether their current billing systems and clearinghouse workflows can support Medicare secondary claim submission requirements and related data entry needs.
What You Will Learn
- Why some practices have difficulty submitting Medicare secondary payer claims electronically
- How billing software and clearinghouse support may affect claim transmission workflows
- What kinds of information may need to be captured when a primary payer is involved
- Where Medicare guidance on secondary payment is referenced in the article
Who Should Read This
- Medical billers
- Coding professionals
- Revenue cycle staff
- Practice managers
- Healthcare administrators
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