When the Medicare program does not have primary responsibility for paying a beneficiary's medical expenses, the Medicare __________ concept applies.
A) balance billing
B) conversion factor
C) limiting charge
D) secondary payer

Question

Quizplus · Accepted Answer

The Medicare Secondary Payer (MSP) concept applies when Medicare is not the primary entity responsible for paying a beneficiary's medical expenses. This occurs when another insurer or entity has the primary responsibility for paying before Medicare.

When the Medicare Program Does Not Have Primary Responsibility for Paying