Medicare as Secondary Payer Topics Page

Medicare is not always the primary insurance payer. As such, they review claims to see when they inappropriately paid as the primary payer when they should have been the secondary. It is essential for providers to clearly establish the Medicare status of a patient on the initial encounter and reviewed annually.

See Chapter 2 - Medicare in Find-A-Code's specialty-specific Reimbursement Guides or the ChiroCode DeskBook for more information about this important topic. Additionally, FindACode has created a Medicare Status Questionnaire Form (see "Resources/Links" tab) which is completed by the patient and helps to establish which payer is primary.

Medicare as Secondary Payer Articles

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Medicare as Secondary Payer Resources/Links

• How Medicare works with other insurance
• Medicare Secondary Payer fact sheet by CMS
• Medicare Topics Page
• Medicare Topics Page - Chiropractic
• What You Need To Know About Medicare Secondary Payer Rules by Benefit Insurance Marketing