J11 Part A Medicare Secondary Payer (MSP ... - Palmetto GBA
J11 Part A Medicare Secondary Payer (MSP ... - Palmetto GBA
J11 Part A Medicare Secondary Payer (MSP ... - Palmetto GBA
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Should I complete the <strong>MSP</strong>Q?Recurring Outpatient Services• <strong>MSP</strong>Q can be completed once every 90 days forrecurring outpatient services.• The beneficiary must be receiving identicalservices and treatments on an outpatient basismore than once during the same monthly billingcycle.March 201134Why Comply with <strong>MSP</strong>Provisions?Compliance is the law!• Required by <strong>Medicare</strong> regulations• Required by provider’s <strong>Medicare</strong> Conditions of<strong>Part</strong>icipation (COP) contractFailure to Comply• Loses money for your facility• Subjects your facility to audits• Could cause your facility to lose its providercontract with <strong>Medicare</strong>March 201135Top 10 Errors Found in <strong>MSP</strong>AuditsMarch 2011Providers should comply with <strong>MSP</strong> provisions toensure that they avoid the top 10 provider errorsfound during <strong>MSP</strong> audits.1. <strong>MSP</strong> Questionnaires are not completed correctly andaccurately.2. <strong>MSP</strong> Questionnaires are not fully completed.3. Claims are filed to <strong>Medicare</strong> prior to checking CWF.4. <strong>MSP</strong> Questionnaires are not compliant with <strong>MSP</strong>regulations.5. Retirement date policy has not been implemented.3612
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