更好的医疗保险第二付款人（MSP）流程可能会增加支付额。

Better MSP (Medicare secondary payer) process may boost payments.

作者信息

Davis S J

出版信息

Healthc Financ Manage. 1991 Aug;45(8):48, 50, 52 passim.

Abstract

Because the Federal government estimates large overpayments by Medicare, changes in the Medicare Secondary Payer (MSP) program may play a significant role in future Medicare budget cuts. A major contributor to MSP problems is providers' failure to adequately collect coverage information from Medicare beneficiaries. Along with data sharing between Federal agencies to help identify responsibility for Medicare claims, providers likely will face more pressure to properly collect Medicare beneficiary information. Because of MSP program payment structure, improving billing offices' procedures for collecting Medicare beneficiary information ultimately may increase providers' overall payments.

摘要

由于联邦政府估计医疗保险存在大量多付款项，医疗保险二次支付者（MSP）计划的变化可能在未来医疗保险预算削减中发挥重要作用。MSP问题的一个主要原因是医疗服务提供者未能充分从医疗保险受益人那里收集保险信息。除了联邦机构之间的数据共享以帮助确定医疗保险索赔责任外，医疗服务提供者可能将面临更大压力，要求其妥善收集医疗保险受益人的信息。由于MSP计划的支付结构，改进计费办公室收集医疗保险受益人信息的程序最终可能会增加医疗服务提供者的总体支付额。