tci Medicare Compliance & Reimbursement - 2012 Issue 9

Billing: CMS Clarifies Rules for Submitting Medicare Secondary Payer Claims

Hint: Copy all beneficiary insurance cards, not just the Medicare one. When Part B practices perform self-audits, they often report that their top errors include Medicare Secondary Payer (MSP) claims being billed as primary. You can avoid this common error, and other MSP denial issues, if you take heed of CMS's latest MSP instructions, which the agency issued last week as part of a MLN Matters article. Take a look at CMS's latest MSP billing tips to ensure that your claims process correctly the first time you submit them. 1. Ask Patients About All of Their Insurers. When a...

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