Medicare Secondary Payer ( MSP )

Some time Medicare will act as secondary, as a billing person we should first bill the claim to primary carrier once received response we can bill Medicare, in below scenarios medicare will act as secondary payer.

Medicare Secondary Payer (MSP)

MSP is the term used by Medicare when another payer pays primary to Medicare
Group Health Plan or Spouse's group health plan
Disability
ESRD
Automobile
No-Fault
Workers Compensation
Veterans Affairs
Black Lung

Before billing Medicare, must ensure we are billing the correct primary payer. When another payer is responsible for payment and the payment has not been received or Medicare may make a conditional payment for Medicare-covered services.

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