Jul 21 2022 1:00PM

Medicare Secondary Payer (MSP): Preparing Compliant MSP and Conditional Claims for Medicare

Did you know that all Medicare providers, including Skilled Nursing Facilities (SNFs), must meet the requirements of their Medicare provider agreement to identify payers that are primary to Medicare, to bill such payers before billing Medicare and to submit MSP claims when required?

In this session, SNFs will learn how to prepare and submit MSP and conditional claims for Medicare. MSP claims are claims submitted to Medicare after the primary payer has paid in part or in full. Conditional claims are claims submitted to Medicare after the primary payer has made a decision not to pay but for a valid reason.

Highlights from this session include:
• A review of MSP and conditional billing codes
• A review of the Fiscal Intermediary Shared System Direct Data Entry (FISS DDE) pages used for claim submission
• SNF billing examples for various MSP situations

Knowing how to code MSP and conditional claims properly will expedite claims processing and any potential Medicare payment to your SNF!