Billing & ClaimsPregunta 58 de 100
When Medicare is the secondary payer (MSP), it means that:
a.Medicare always pays first
b.Another insurer is responsible for paying before Medicare
c.The patient has no other coverage
d.The claim cannot be submitted electronically
Explicación
Medicare Secondary Payer rules apply when another payer, such as an employer group health plan or a liability insurer, has primary responsibility. In those cases the primary payer is billed first, and Medicare may then consider the remaining balance. Correctly identifying the primary payer prevents improper billing to Medicare.
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