Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers’ Compensation Medicare Secondary Payer (MSP) Claims
The purpose of this instruction is to clarify, for all Medicare contractors, the process and procedures to follow when processing L, NF or WC claims when the L, NF, or WC insurer does not make prompt payment. The instructions also include definitions of the promptly payment rules and how contractors shall identify conditional payment requests on MSP claims received from physicians, providers and other suppliers.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 03, 2012
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.