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Last Modified: 4/23/2020 Location: FL, PR, USVI Business: Part A

Medicare secondary payer and VA FAQ

Q: If Medicare was originally the primary insurance and has now changed to secondary with Veterans Affairs (VA) as the primary insurance, how should we submit the Part A claims?
A: Cancel the original claim and submit the claim to the VA. Once the canceled claim has processed, the Fiscal Intermediary Shared System (FISS) will automatically recoup the money you were paid.
Where the VA authorized services, Medicare does not make payment for items or services furnished by a non-Federal provider pursuant to such an authorization. Although certain MSP billing procedures apply, VA is not an MSP provision.
Source: Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOM) Publication 100-05 Medicare secondary payer (MSP), Section 10.2 external pdf file
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