by Lori | Jun 11, 2019 | Medicare payment basics
Medicare Second Payer Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first. (The private insurance industry generally talks about “Coordination of Benefits” when assigning responsibility for first...
by Lori | Jun 17, 2015 | Medicare payment basics
When Medicare As Secondary Payer Until 1980, Medicare was the primary payer for all Medicare covered services except for services covered by workers’ compensation or black lung benefits or paid for by the Department of Veterans Affairs or other government...
by Lori | Jun 7, 2015 | Medicare payment basics
When Medicare began in the 1960s, it was the primary payer for all services except those covered by workers compensation. Then in 1980, Congress enacted provisions to shift costs from the Medicare program to private insurers, when possible. This legislation stopped...
by Lori | Apr 6, 2015 | Medicare payment basics
Provider Action Needed Section 3 of the Defense of Marriage Act (DOMA) provided for purposes of federal law, the term “spouse” could not include individuals in a same-sex marriage. Because the MSP Working Aged provisions only apply to subscribers and their spouses,...
by Lori | Mar 25, 2015 | Medicare payment basics
a. General Requirements When Medicare is the secondary payer, the claim must first be submitted to the primary insurer. The primary insurer must process the claim in accordance with the coverage provisions of its contract. If, after processing the claim, the primary...