tci Medicare Compliance & Reimbursement - 2018 Issue 8

Reimbursement: Manage MSP Issues with Stronger Claims' Policies

Tip: Accurate patient information helps determine primary payer. Don't assume your patient's care falls entirely under Part B when he hands you his Medicare card to verify coverage. Why? Because many patients are covered under Medicare as well as other insurance, and it's up to your practice to know the details and sequencing of where to send your claims. That's why it's a good idea to brush up on your Medicare Secondary Payer (MSP) skills. What it is: The term "Medicare Secondary Payer" refers to situations where another payer has primary payment responsibility for care provided to a Medicare...

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