Billing
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-sharing, including deductibles, coinsurance, and copayments.
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-sharing, including deductibles, coinsurance, and copayments.
Medicare secondary payer (MSP): Medicare as the tertiary payer
Read this article for billing guidelines when Medicare is the tertiary payer.
Quick reference chart for Medicare Secondary Payer (MSP) claims
Review this chart for information on submitting accurate MSP claims.
Medicare secondary payer (MSP): Medicare as the tertiary payer
Read this article for information on how to submit your Part B claim when more than one insurance is primary to Medicare.
2026 - 2027 influenza, pneumococcal, and hepatitis B vaccine reimbursement
Review this article for the payment allowances and effective dates for the 2026-2027 flu season.
Immunization roster billing
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…