Medicare Secondary Payer (MSP)

by | Apr 27, 2012 | Medicare, Medicare Terms

MSP = Medicare Secondary Payer   Applies when Medicare is not the beneficiary’s primary insurance   ■More than $4.5 billion saved annually on claims paid by primary insurers Job-related illness or injury covered under Worker’s Compensation ■Accident injuries...

Electronic Remittance Advice (ERA)

by | Apr 27, 2012 | Medicare, Medicare Terms

ERA = Electronic Remittance Advice (ERA) ERA transactions are sent based on the NPI/PTAN combination when the payee information is different than the rendering data •The zip codes entered on the claims are used to match to the appropriate PTAN ■Reports the final...

Electronic Funds Transfer (EFT)

by | Apr 27, 2012 | Medicare, Medicare Terms

EFT = Electronic Funds Transfer   Benefits of EFTs   ■Funds are available faster   ■Administrative costs are reduced   ■Accounting Department can reconcile receivables   ■Contribute to the Paper Reduction Act     Share...

Electronic Data Interchange (EDI)

by | Apr 27, 2012 | Medicare, Medicare Terms

  EDI= Electronic Data Interchange   EDI helps provide quick efficient exchange of healthcare information   •EDI provides access to HIPAA compliant transactions   ■270/271 Eligibility Response in real time from the CMS data center   ■276/277...