The Medicare Summary Notice (MSN), which provides information on Original Medicare claims, is one of the key tools that the SMP program uses for catching fraud, errors, and abuse. Reviewing and understanding MSNs is crucial for both Medicare beneficiaries and for SMPs. This tutorial reviews the basics of how to read your MSN.
Timestamps
00:00 Welcome - How to Read Your Medicare Summary Notice
00:21 Why is it important to read your MSNs?
00:40 Overview of Medicare Insurance
01:24 How does Medicare fraud occur?
02:05 How you prevent Medicare fraud
02:30 Types of Medicare Plans
03:25 How to get help reading your Medicare Advantage Explanation of Benefits (EOB)
03:33 Overview of an MSN
04:12 Reviewing Sample MSNs
04:43 Top of MSN (Part A)
04:56 Beneficiary Information
05:12 Time Period
05:16 Deductible Status
05:27 Summary of approved and denied claims and total you may be billed
05:37 Facilities and Health care providers who submitted claims as well as the date they were provided
06:13 Top of page 2 of the MSN
06:40 Benefits Period section
06:48 How to Check This Notice section
07:16 Seasonal Messages
07:32 Page 3 of the MSN
07:37 Detailed claims of services
08:20 Definitions of Columns
08:32 Columns
09:07 Last page of MSN - Denied Claims and Filing an Appeal
09:30 Part B MSN
09:53 Providers with Claims This Period
10:02 Page 2 of the Part B MSN
10:10 Medicare Preventive Services
10:26 Page 3 of the Part B MSN
10:56 Last page of the Part B MSN - Denied Claims and Filing an Appeal
11:10 How to contact the Senior Medicare Patrol (SMP) for questions
