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
Claim Submission
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 3, §§30.4, 40 and §50
Conditional Payment
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 3, §40.3.1
Consolidated Omnibus Budget Reconciliation Act (COBRA)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §20.2
Coordination of Benefits Contractor (COBC)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 4, §10
Data Match
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 4, §30
Diagnosis Codes Related/Unrelated to Non-GHP Claims
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 6, §40.10
Disability
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §30
End Stage Renal Disease (ESRD)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §20
ESRD and COBRA
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §20.2
Group Health Plan (GHP)
Large Group Health Plan (LGHP)
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §§10.2 and 30.2
Liability Insurance
MSP Admission Questionnaire
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 3, §20
No-Fault Insurance
Overpayments
Right to Recovery
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §40.1
Updating MSP Information/Records
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 4, §10.2
Workers' Compensation
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
Working Aged
- Medicare Secondary Payer Manual (CMS Pub. 100-05)
- Chapter 2, §10
Posted: 02.05.19