Snag Conditional Part B Payments Under New Medicare MSP Standards

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Master These Medicare MSP Standards to Secure Conditional Part B Payments!

If you’re treating Medicare-covered patients who are involved in accidents or injured on the job, then you may find yourself questioning when the federal program benefits apply. Medicare secondary payer (MSP) rules dictate your payment with complicated and often confusing lingo. 

Medicare recently clarified when it will make conditional payments in the situation where the liability or Worker’s Compensation insurers don’t promptly pay the claims. However, at the same time, Medicare added more “hoops” that you have to jump through in order to qualify for these conditional payments. For instance, did you know if you don’t follow the program’s strict instructions for billing primary insurers, you could face claim denials? 

This means, as a provider, it’s up to you to fully understand the MSP standards and procedures — especially if you expect to receive interim Medicare payments for treating injured patients. 

This session will help you: 

  • Learn the basic rules of payment under MSP.
  • Go in-depth with types of cases and insurance policies to which conditional payments apply.
  • Define — according to Medicare — when a payment isn’t “prompt.”
  • Avoid conditional payment denials by adhering to these strict procedures.
  • Find out what’s your responsibility when a primary insurer subsequently pays a claim. 

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend? physicians, medical groups, medical group administrators or managers, hospitals, long term care facilities and health care consultants


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About Our Speaker

Wayne J. Miller - Healthcare Compliance Expert

Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...   More Info
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