tci Part B Insider - 2010 Issue 35

Physician Notes: CMS Offers Tool to Determine When Medicare is Secondary

Plus: OIG blasts suppliers' modifier KX claims.When a patient has no other insurance coverage besides Medicare Part B, you can be sure that Medicare is that beneficiary's primary payer. But what about when the patient has additional insurers? You can determine when Medicare is considered the secondary payer and when CMS considers Medicare primary by accessing a handy new fact sheet.As part of the MLN Matters educational series, CMS has published its "Medicare Secondary Payer Fact Sheet," which offers a full chart outlining when Medicare pays first and when the program pays second. For instance, if...

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