What is OTAF?

This is the amount the provider agreed to accept from the primary payer when the amount is less than the charges but higher than the payment amount; then a Medicare secondary payment is due to the provider.

What is an MSP code?

Medicare Secondary Payer (MSP): Condition, Occurrence, Value, and Patient Relationship, and Remarks Field Codes. This article includes tables of some of the most common Condition, Occurrence, Value, Patient Relationship, and Remarks Field Codes associated with MSP claims. Patient Relationship Codes (UB-04 FL 59A, B, C)

How often is MSPQ required?

every 90 days
The MSPQ is a requirement for all Medicare patients and registrations, recurring every 90 days. “Luckily, our form is electronic within our registration pathway. It automatically fires appropriately during registration,” says Rubino. New employees are trained on how to complete the form.

How often does the MSP have to be filled out for a patient who is non recurring?

As a Part A institutional provider rendering recurring outpatient services, the MSP questionnaire should be completed prior to the initial visit and verified every 90 days.

What is the CFR Code of federal regulations?

Code of Federal Regulations (CFR) CFR Title 31 CFR 501 Reporting, Procedures and Penalties Regu 31 CFR 510 North Korea Sanctions Regulations 31 CFR 515 Cuban Assets Control Regulations 31 CFR 525 Burma Sanctions Regulations

What does obligated to accept field ( OTAF ) mean?

Obligated to Accept Field (OTAF) an amount that the beneficiary is not liable for. If the beneficiary were not responsible for any of these amounts, then the OTAF amount would be the same as the amount the primary insurance allowed. Using an OTAF amount will indicate that there is a discount that the beneficiary was not responsible for.

Is the Code of federal regulations available online?

The Code of Federal Regulations (CFR) is current with the published print version of the CFR. When the print editions are released, the online version is also made available. If a CFR Title or volume is not listed in the CFR browse, that volume has not been published at that time.

When to use value code 44 for OTAF?

Value Code 44 should be used when you are obligated to accept the primary payment as payment in full (OTAF). This is the amount the provider agreed to accept from the primary payer when the amount is less than the charges billed, but higher than the payment amount. In this situation, Medicare secondary payment is due.