Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])
Read this article for more information on contacting the MSP Contractor.
Articles
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COVID-19 vaccine and monoclonal antibody billing for Part B providers
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
Multiple procedure payment reduction
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of...
Skilled nursing facility (SNF) leave of absence
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.
Skilled nursing and therapy services to maintain function or prevent or slow decline: Reminder
The Jimmo Settlement Agreement clarifies Medicare’s longstanding policy coverage of skilled nursing and skilled therapy services...
Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost...
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
Reporting manifestation diagnosis codes
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article...
Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and...