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Billing for Services when Medicare is a Secondary Payer

This new Article comprises Subregulatory Guidance for physicians, hospitals, Skilled Nursing Facilities (SNFs), suppliers and other providers who bill Medicare Administrative Contractors (MACs) or Durable Medical Equipment (DME) MACs for services provided to Medicare beneficiaries. MLN Matters Special Edition (SE) Articles clarify existing policy. The information contained within this article is based on Chapter 3 of the Medicare Secondary Payer Manual.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 23, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.