tci Medicare Compliance & Reimbursement - 2022 Issue Q1

Reader Question: Know These VA and Medicare Nuances

Question: One of our patient’s was originally covered by Medicare, but his main health insurance is now through the Veterans Administration (VA)? Should we bill the VA as a Medicare Secondary Payer (MSP)? North Carolina Subscriber Answer: No, you cannot bill both the Centers for Medicare & Medicaid Services (CMS) and the VA for the same services — even if your patient is considered a beneficiary under both. Why? The VA and Medicare are considered federal payment programs, and you cannot double dip so to speak. “If the beneficiary is entitled to both Medicare and Veterans Administration...

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