Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 400.7

Exhibit 7 - Status of MSP Accounts Receivable - HI – (Rev. 5, 08-30-02)

Last amended: 2002Year: 2002Length: 118 wordsOfficial source
400.7 - Exhibit 7 - Status of MSP Accounts Receivable - HI – (Rev. 5, 08-30-02) This is an exact duplicate of Exhibit 3, except that the data is limited to data involving Medicare as secondary payer. This exhibit, and Exhibit 8, Status of MSP Accounts Receivable - SMI, are identical with the following exceptions: • Section B, items 5d through 5g and Section D, items 5d and 5e refer to the POR for HI reports and refer to the POR/PSOR for the SMI report. • Only carriers enter the PSOR data on the SMI report. • The CMS Form Number for this report (HI) is CMS-M751A. • The CMS Form Number for the SMI report is CMS-M751B.
Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 400.7: Exhibit 7 - Status of MSP Accounts Receivable - HI – (Rev. 5, 08-30-02) | Justis AI