What is a MSP questionnaire?

What is a MSP questionnaire?

This questionnaire is a model of the type of questions that may be asked to help identify Medicare Secondary Payer (MSP) situations. The instructions will direct the patient to the next appropriate question to determine MSP situations.

Are there any exceptions to the MSP provisions?

There are no exceptions to the MSP provisions. SSA Section 1862(b)(2)(A)(i) and 42 USC 1395(y)(b)(2)(A)(i) prohibits accepting payment for services from a patient upon admission if another insurer is primary.

What does your MSP type is working aged mean?

The working-age is a patient 65 and older who has an Employer Group Health Plan (EGHP) coverage through his or her employment or their spouse’s employment.

Who is primary for Medicare disability?

Question: Who pays first, Medicare or my COBRA continuation coverage? Answer: If you are age 65 or older and have Medicare and COBRA continuation coverage, Medicare pays first. If you or a family member has Medicare based on a disability and COBRA coverage, Medicare is the primary payer.

How often must MSP be completed?

Following the initial collection, the MSP information should be verified once every 90 days.

Does Medicare pay as secondary if primary denies?

Secondary insurance pays after your primary insurance. If your primary insurance denies coverage, secondary insurance may or may not pay some part of the cost, depending on the insurance. If you do not have primary insurance, your secondary insurance may make little or no payment for your health care costs.

Can you refuse Medicare if you are disabled?

You can decline Medicare Part B coverage if you can’t get another program to pay for it and you don’t want to pay for it yourself. The important thing to know about declining Part B coverage is that if you decline it and then decide that you want it later, you may have to pay a higher premium.

What is MSP reason code?

Primary Payer Code = A. ESRD beneficiary with EGHP in MSP/ESRD 30-month coordination period. Primary Payer Code = B. No-Fault including automobile/other….FISS only:

Code	Description	MSP VC
C	Conditional Payment	Any
D	No-Fault including Automobile/other insurance	14
E	Workers’ Compensation (WC)	15