Medicare Secondary Payer (MSP) involves coordination of benefits and incorrect payments by Medicare, which is significantly confusing. Under MSP, hospitals and physicians must appreciate how the MSP connects with group health insurance, and how the MSP is affected by workers’ compensation payments. You need to understand liability insurance coverage in relation to MSP, appreciate how provider-based clinics can complicate filing claims for MSP, and understand what Medicare does and does not pay as a secondary payer.
Join expert speaker Duane C. Abbey, Ph.D., for a review of the principles of the Medicare secondary payer (MSP) program. Duane will discuss how the MSP connects with group health insurance and is affected by workers’ compensation payments. With this session, you will understand the liability insurance coverage in relation to MSP. This session will help you understand what Medicare does and does not pay as a secondary payer and how provider-based clinics can complicate filing claims for MSP. Duane will discuss the key form locators on the UB-04 and pertinent boxes on the 1500 claim forms. You will be able to work through several case studies involving working aged, disability, workers’ compensation, no-fault liability, and special circumstances.
The session will review the process of Medicare conditional payment, and the impact of MMSEA Section 111 on MSP. At the end of the session, you will leave with an understanding of possible audits and recoupments including RAC involvement with MSP. You will also understand the need with provider-based clinics to make policy decisions concerning beneficiaries that have Medicare as secondary.
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
- Jim Sheldon-Dean
Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....
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