Providers have specific responsibilities with their Medicare patients to determine the correct order of billing. CMS requires this coordination of benefits for every admission, outpatient encounter or episode of care. Completion of the Medicare Secondary Payor Questionnaire (MSPQ) is the one form that meets the need and allows the provider to submit their bill.
The provider has a huge task: research the primary coverage, avoid incorrect claim submission and determine Medicare’s correct level of responsibility. All of this must be done while conveying a complex level of information to the patient and engaging them in the process so the MSPQ is completed correctly, with minimal effort and impact on hospital’s billing cycle. Our staff are trained in MSP regulations, Coordination of Benefits rules, and billing guidelines. Understanding all of these nuances allows them to easily explain, in working terms, why this process is important to your patients.
Let Argos Health assist in implementing an MSPQ completion process where our experienced staff serves as an extension of your team to help avoid costly billing delays and potential denials.