Should Medicare Secondary Payer (MSP) claims be billed electronically or on hardcopy claims?
If you bill electronically, you should be submitting all of your claims electronically on the basis of section 3, PL107-105, and the implementing regulation at 42 Code of Federal Regulations (CFR) 424.32. This requires you, with limited exceptions, to submit all your initial claims for reimbursement under Medicare electronically, on or after October 16, 2003. There are some exceptions to this electronic claim submission requirement. They include the following: • You are a small provider – a provider billing a Medicare Fiscal Intermediary/Medicare Administrative Contractor (MAC) that has fewer than 25 Full-Time Equivalent employees (FTEs), and a physician, practitioner, or supplier with fewer than 10 FTEs that bills a Medicare carrier; • A dentist; • A participant in a Medicare demonstration project in which paper claim filing is required due to the inability of the Applicable Implementation Guide, adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to
Related Questions
- What should we do if there is an open Medicare Secondary Payer (MSP) record posted to the ELGH/ELGA screens that has a really old effective date?
- How do I bill an Medicare Secondary Payer (MSP) claim when the primary payer applied the entire payment to the patient’s deductible?
- What is Medicare Secondary Payer (MSP)?
