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Medicare secondary payer (MSP)
Medicare secondary payer (MSP)Medicare secondary payer (MSP)
Modified: 1/26/2012
Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when another payer is responsible for payment and is not expected to pay promptly (i.e., within 120 days). This article features a reference table that highlights the information that should be included within the MSP claim.
Modified: 1/5/2012
Do you want to know how to avoid MSP claims payment delays and inappropriate denials? [WPC 837 IG; CMS IOM - MSP, Ch 5, Sec 50.1.8]
Modified: 1/5/2012
Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary payer makes payment. [IOM Pub 100-05 MSP Manual]
Modified: 12/1/2011
This article clarifies those situations in which end-stage renal disease (ESRD) claims are denied when Medicare is the secondary payer during the required coordination period. The 30-month coordination period is required for beneficiaries that are eligible for Medicare due to an ESRD diagnosis.
Modified: 8/18/2011
Electronic Filing of Medicare Secondary Payer Claims (MSP) for Part A
Modified: 7/20/2011
Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.
Modified: 7/17/2011
Learn the answers to providers’ most frequently-asked questions regarding how to bill MSP claims correctly.
Modified: 6/30/2011
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers determine whether Medicare is the primary or secondary payer based upon specific situational criteria. The information included within the table is based upon the “Medicare Secondary Payer Fact Sheet” published by the Centers for Medicare & Medicaid Services (CMS).
Modified: 5/19/2011
This formatting information is intended to provide you and your software IT staff with a reference point to provide the necessary MSP information for electronic claim filing in the ANSI X12N 004010X098A1 format.
Modified: 12/2/2010
This questionnaire contains questions that can be used to help Medicare providers identify other payers that may be primary to Medicare.
