Billing & ClaimsCâu 58 / 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
Giải thích
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.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- Which item is generally required for a clean professional claim?
- An appeal of a denied claim is:
- The term 'assignment of benefits' means that the patient:
- A superbill (encounter form) is used to:
- Which of the following would most likely cause a claim to be rejected at the clearinghouse before reaching the payer?
- A clearinghouse in the billing workflow functions to:
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