What do we need to do to make sure our hospice Medicare Secondary Payer (MSP) claims get paid?
Hospice agencies should ensure any required MSP data such as condition codes, occurrence codes and dates, value codes and amounts, and payer codes are present at the time the hospice claim is submitted to Medicare. In addition, detailed remarks that will assist with the processing of the MSP claim are also important. As a reminder, Notices of Election (NOEs) billed by hospices should never contain MSP data. Review the Medicare Secondary Payer (MSP) Billing quick reference tool for assistance in determining if Medicare is secondary and for instructions on how to submit an MSP claim to Medicare, depending on the type of primary insurance. The Medicare Secondary Payer (MSP) Web page also contains helpful information. As a reminder, Medicare Secondary Payer (MSP) claims where the primary insurer has made a payment must be submitted electronically in the American National Standard Institute (ANSI) ASC X12N 837 format. Only claims where no insurer payment was made (services unrelated or paym
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)?
