Medicare secondary payer


Also found in: Acronyms.

Medicare secondary payer

adjective Referring to Medicare’s default (secondary) responsibility for paying claims and health benefits after primary insurers have been billed for health services.
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References in periodicals archive ?
"Set Aside Arrangement" in its Medicare Secondary Payer
She routinely advises air carriers and insurers on their obligations under the mandatory Medicare reporting laws and the Medicare Secondary Payer Act.
The latest bill, the Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013 was introduced May 15 in the House as H.R.
The exhaustion of the administrative appeals involved Bradley 1) filing a request for redetermination from the Medicare Secondary Payer Recovery Contractor (MSPRC); 2) filing a request for reconsideration of MSPRC's unfavorable determination to MAXIMUS Federal Services; 3) filing an appeal of MAXIMUS's unfavorable reconsideration by requesting a hearing before an administrative law judge (ALJ) at the Office of Medicare Hearings and Appeals, Southern Field Office and participating in a hearing before the ALJ; and 4) appealing the unfavorable ALJ decision to the Medicare Appeals Council in Washington, D.C.
Medicare Secondary Payer, Information for Employers is a booklet designed to provide information to organizations that sponsor or contribute to group health plans that cover people who may have Medicare, regarding when Medicare is secondary payer to the health plan.
The Medicare Secondary Payer (MSP) policy was designed to ensure that the Medicare and Medicaid programs do not pay for healthcare expenses for which another party is responsible.
Strong supporters include members of the American Insurance Association and the Coalition for Medicare Secondary Payer Reform.
Consequently, insurance carriers now must alter the way claims are managed and settled because of two key components: Section 111 reporting and increased enforcement of Medicare's recovery rights trader the Medicare Secondary Payer statute, or MSP for short.
THE MEDICARE SECONDARY PAYER ACT (MSP) (1) requires that Medicare not pay for any health care item or service that has been paid or should be paid by a primary source.
(3) Part of this act, [section] 111, extends the government's ability to enforce the Medicare Secondary Payer Act.
Using the Medicare Secondary Payer Act and the new SCHIP Extension Act passed in December of 2007, Medicare is bulling its way into workers' compensation and liability settlements.

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