tci Part B Insider - 2018 Issue 5

Part B Payment: Know These MSP Facts to Ensure Medicare Reimbursement

Hint: Look at patient's age and employment to pinpoint primary payer. Many different things factor into whether Medicare is the primary or secondary insurer for a particular patient, but the following are among the most common you may encounter, according to CGS Medicare's Vanessa Williams, who spoke during the Part B payer's March 21 webinar, "Medicare Secondary Payer: The Basics." Follow the first chart to find out when Medicare is typically primary, and use the second chart to determine when Medicare is usually the secondary insurer. MEDICARE IS PRIMARY: Patient is age 65 or older and covered by...

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