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Search our FAQs to find answers to common questions.
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.
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…
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.
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
View this important information you must know when billing for Prolia (denosumab) injections, J0897.
To determine if a claim was medically reviewed, providers should submit the requests correctly.
First Coast will coordinate with both CMS, and the Department of Justice (DOJ), to assure that we handle your bankruptcy case properly.