Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

June 2021

When Medicare Denies As Secondary Payer

Some patients with Medicare also have other health insurance coverage through an employer or spouse’s employer, or on a case by case basis for accidents, injuries, or illnesses covered by workers compensation, liability, or no-fault Insurance. In those cases, Medicare serves as the secondary payer (MSP). In some situations, though, Medicare may deny a claim indicating that Medicare is the secondary payer when, in fact, you have no primary payer on file. When this is the case, what should you do? READ MORE

CMS Releases Critical Care CBRs for Second Year in a Row

The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE

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