tci ED Coding & Reimbursement Alert - 2019 Issue Q4

Reader Question: Nail Down Medicare Secondary Payer

Question: Who is the Medicare Secondary Payer? Is that Tricare? Supercoder Subscriber Answer: The term “Medicare Secondary Payer” refers to situations where another payer has primary payment responsibility for care provided to a Medicare beneficiary. Medicare Secondary Payer (MSP) is different from a “Medicare supplement insured” patient (also known as Medigap), in which Medicare is always primary and there is a secondary private health insurance policy. Several factors determine whether Medicare is primary or secondary, such as the patient’s age or employment status, as well as diagnoses such as end stage renal disease. For instance, if...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.