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 informat…
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
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 artic…