CMS Guidelines and Resources for Medicare Secondary Payer (MSP)
The Centers for Medicare & Medicaid Services (CMS) website and Internet Only Manuals (IOMs) provide the following MSP guidelines and resources.
Billing MSP
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
Black Lung Disease
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 1
, §10.4
- Chapter 2,
, §50
- Chapter 3
, §30.2.3
- Chapter 1
Claim Submission
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 3
, §§30.4, 40 and §50
- Chapter 3
Conditional Payment
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 3
, §40.3.1
- Chapter 3
Consolidated Omnibus Budget Reconciliation Act (COBRA)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §20.2
- Chapter 2
Coordination of Benefits Contractor (COBC)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 4
, §10
- Chapter 4
Data Match
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 4
, §30
- Chapter 4
Diagnosis Codes Related/Unrelated to Non-GHP Claims
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 6
, §40.10
- Chapter 6
Disability
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §30
- Chapter 2
End Stage Renal Disease (ESRD)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §20
- Chapter 2
ESRD and COBRA
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §20.2
- Chapter 2
Group Health Plan (GHP)
Large Group Health Plan (LGHP)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §§10.2 and 30.2
- Chapter 2
Liability Insurance
MSP Admission Questionnaire
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 3
, §20
- Chapter 3
No-Fault Insurance
Overpayments
Right to Recovery
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §40.1
- Chapter 2
Updating MSP Information/Records
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 4
, §10.2
- Chapter 4
Workers' Compensation
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
Working Aged
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2
, §10
- Chapter 2
Posted: 02.05.19