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MSP (Medicare secondary payer)

Modified: 11/22/2017
Use this form to calculate estimated MSP payments for Part B of the Medicare program.
Modified: 7/28/2017
Learn the answers to providers’ most frequently asked questions regarding how to bill MSP claims correctly.
Modified: 12/31/2017
Please review this article for details on 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.
Modified: 12/24/2017
Use this calculator to determine a beneficiary's ESRD coordination period.
Modified: 12/24/2017
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: 12/22/2017
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.
Modified: 12/22/2017
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.
Modified: 12/22/2017
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: 12/21/2017
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
Modified: 12/19/2017
View the Medicare Secondary Payer internet-only manual (IOM), Publication 100-05, on the Centers for Medicare & Medicaid Services (CMS) Internet-only manuals page.
Modified: 11/3/2017
This article contains information for filing Medicare part A secondary payer claims (MSP)
Modified: 11/3/2017
This article contains updated information for filing Medicare part B secondary payer claims (MSP) in the 5010 format.
Modified: 10/19/2017
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: 10/14/2017
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: 10/14/2017
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: 9/7/2017
The purpose of the medicare secondary payer interactive billing tool simulation is to assist you with deciding if Medicare is the primary or secondary payer for certain types of MSP.
Modified: 9/1/2017
The purpose of the medicare secondary payer interactive billing tool simulation is to assist you with deciding if Medicare is the primary or secondary payer for certain types of MSP.
Modified: 8/30/2017
The purpose of this fact sheet is to provide a general overview of the MSP provisions for individuals involved in the admission and billing procedures for health care providers, physicians, and other suppliers.
Modified: 8/3/2017
This questionnaire contains questions that can be used to help Medicare providers identify other payers that may be primary to Medicare.
Modified: 7/28/2017
Learn the answers to providers’ most frequently asked questions regarding how to bill MSP claims correctly.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.