Primary / Secondary
Hello, Does any one have a quick way to tell which Ins is Primary or Secondary. Lately I am getting alot of denials, ecspecially from Medicare stating that they are not Primary. And I was hoping...
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I am still new to this so I hope it helps. First I would think the patient should be able to tell you which is primary. If it is a medicare supplement it usually says that on the secondary. If...
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There is no quick, easy way to tell who is primary. There is an entire decision tree regarding this.Here is one article: www.mutualmedicare.com/ms...iders.htmlHere is the one I like the best though,...
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Wow, that's news to me. I thought it became mandatory many years ago that all Medicare contractors have, at a minimum, IVR.
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I meant online access to CWF. Besides, Medicare mandates that providers attempt to determine if Medicare is primary or secondary, despite what you get when you call them. Sharon
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You don't have to have online access - the IVR gives MSP information, too. Or should I again be wowed that this is not true for all contractors?And yes, I am fully aware that Medicare makes it...
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Wow! Lot's of great information.. Thanks so much for your efforts. I will need to try to put something in place now to determine who is prime. Also is it true that if you see a patient before you...
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Eligibility - unless your contract with an insurance states otherwise, if the patient is not eligible, then they are 100% responsible for charges. To the best of my knowledge, if a Medicare patient is...
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To add my co-pay:I found that talking to the patient about their insurances and financial responsibilities, as well as to verify the info prior to rendering the care, when you are able to do so, will...
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I always have the patient fill out the questionnaire Sharon offered. I have found that despite checking our Medicare IVR, often the information is incorrect because the patient did not update properly...
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On this same subject...I just rec'd a letter from Medicare indicating that a patient had a MCO on 2/28/06 and now Medicare wants their money back. Sure enough, once I called the MCO the patient was...
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Even utilizing best practices, there still will be problems. It sounds to me like you're doing all you can do.
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