J11 Part A Medicare Secondary Payer (MSP ... - Palmetto GBA

Medicare Policies/ProceduresGeneral Admission ProceduresIdentifying Other Primary Payers During TheAdmissions ProceduresTypes of Medicare Questions to Ask aBeneficiaryPolicy for Provider Records Retention ofMSP InformationMarch 201128Provider MSP ResponsibilitiesMarch 2011A provider that bills Medicare for servicesrendered to Medicare beneficiaries mustdetermine the primary payer for thoseservices.• Ask Medicare beneficiaries, or theirrepresentatives, questions concerning thebeneficiary’s MSP status.Upon admission, complete the MSPQuestionnaire (MSPQ).29MSP Questionnaire (MSPQ)Providers are required to complete a MSPQuestionnaire for each service provided for aMedicare-entitled patient.• One Claim = One QuestionnaireThere are some exceptions for non-patient andrepetitive services.Required to identify all other primary payersunder federal law.March 20113010