MSP (Medicare secondary payer)
ESRD coordination period calculator -- determine a beneficiary's ESRD (end-stage renal disease) coordination period.
Reason code lookup – locate descriptions associated with Medicare Part A reason codes.
MSP billing and claims
MSP value codes and payer codes -- Learn the correct pairing of value codes (VC) and payer codes (PC) to use when billing different types of Medicare secondary payer (MSP) claims.
MSP interactive billing tool simulation -- this simulation assists in determining if Medicare is primary.
Electronic filing of Medicare secondary payer claims (MSP) -- find information for filing MSP claims in the 5010 format
Requesting Medicare secondary payer conditional payments -- 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.
MSP and conditional payment request claim filing guidelines -- Learn how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC) 24 and date of denial.
Limitations on ESRD coverage by certain health care plans -- this article refers to denials when Medicare is the secondary payer during the coordination period of 30 months required for beneficiaries that are eligible for Medicare due to an ESRD diagnosis.
Learn how to determine when Medicare is the primary or secondary payer -- quick reference table.
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