Billing

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Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Medicare secondary payer (MSP): Medicare as the tertiary payer

Read this article for billing guidelines when Medicare is the tertiary payer.

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

Read the below article for more information on MSP ongoing responsibility for medicals.

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

Read the below article for more information on MSP ongoing responsibility for medicals.

Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])

Read this article for more information on contacting the MSP Contractor.

Correct reporting of MSP type on electronic claims

This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.

Requesting Medicare secondary payer conditional payments

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…

Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to…

Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to…