What is Medicare Secondary Payer (MSP)?
A Medicare Beneficiary may have additional health insurance coverage through another plan or program. When the beneficiary receives services, a decision must be made about which coverage has primary responsibility for payment and which one is the secondary payer. Medicare Secondary Payer (MSP) is the term used when Medicare is not responsible for paying health care claims first. Since 1980, Congress has passed laws making Medicare the secondary payer in a number of situations. These situations are listed below: · Automobile · Black Lung · Disabled Persons · End-Stage Renal Disease · Liability · Public Health Service/Federal Agency · Veteran’s Administration · Worker’s Compensation and Worker’s Compensation Set-Aside Agreements · Working Aged The Centers for Medicare & Medicaid Services (CMS) emphasizes that providers must investigate all options to find out whether Medicare is the secondary payer in each individual case. Hospitals must utilize the MSP questionnaire. For more informatio
Related Questions
- How does a sponsor resolve any discrepancy between its plan rules and the Medicare Secondary Payer (MSP) rules with regard to whether any individual is an active employee for purposes of the ERRP?
- 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?
