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Medicare Secondary Payer
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Book Synopsis Medicare Secondary Payer Compliance: The Liability Case - Second Edition by : Roy A. Franco
Download or read book Medicare Secondary Payer Compliance: The Liability Case - Second Edition written by Roy A. Franco and published by Juris Publishing, Inc.. This book was released on 2012-12-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is a] guide and commentary for anyone involved in a liability case where the Medicare Secondary Payer Act comes into play. This book is designed to serve as a resource guide for anyone interested in learning where the potential pitfalls of the Act lay. The authors, highly versed in the complexities and nuances associated with the Act, provide commentary and analysis based on the law as it is presently known, and suggest approaches to consider when attempting to finalize the liability case. The new requirements of the Act will not be easily absorbed by the liability industry. Practices developed over decades will need to change. Extra vigilance is necessary to avoid legal liability. This book provides much needed guidance to assist the practitioner in this regard"--Provided by publisher.
Book Synopsis Medicare Secondary Payer Program by : Sarah F. Jaggar
Download or read book Medicare Secondary Payer Program written by Sarah F. Jaggar and published by . This book was released on 1995 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical care, Medicaid, health insurance.
Download or read book Medicare Secondary Payer written by and published by . This book was released on 1990 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Complete Guide to Medicare Secondary Payer Compliance by : Jennifer C. Jordan
Download or read book The Complete Guide to Medicare Secondary Payer Compliance written by Jennifer C. Jordan and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Secondary Payer Program by : Leslie G. Aronovitz
Download or read book Medicare Secondary Payer Program written by Leslie G. Aronovitz and published by . This book was released on 1993 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis What are . . . Medicare and Medicaid Secondary Payer Laws by : Courtney Delaney
Download or read book What are . . . Medicare and Medicaid Secondary Payer Laws written by Courtney Delaney and published by . This book was released on 2017-08 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1980, prompted by rising Medicare costs, Congress passed a series of provisions referred to collectively as the Medicare Secondary Payer Act (MSP Act), establishing Medicare as a ""secondary payer"" to certain other insurance plans referred to as ""primary plans."" This book will assist the reader in understanding the obligations stemming from the MSP Act and supporting regulations as they impact parties litigating and resolving personal injury claims.
Book Synopsis Medicare Secondary Payer -- Coordination of Benefits by :
Download or read book Medicare Secondary Payer -- Coordination of Benefits written by and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is the nationâ€TMs health insurance program for qualifying individuals who are 65 and older, disabled, and those with End Stage Renal Disease (ESRD). Generally, Medicare is the “primary payerâ€ŗ â€" that is, it pays health claims first, and if a beneficiary has other insurance, that insurance may fill in all or some of Medicareâ€TMs gaps. However, in some situations the Medicare Secondary Payer (MSP) rules prohibit Medicare from making payments for any item or service when payment has been made or can reasonably be expected to be made by a third-party payer. Under certain conditions, the law makes Medicare the secondary payer to insurance plans and programs for beneficiaries covered through (1) a group health plan based on either their own or a spouseâ€TMs current employment; (2) auto and other liability insurance; (3) no-fault liability insurance; and (4) workersâ€TM compensation situations, including the Black Lung program. The purpose of the MSP program is to shift costs from Medicare to private sources of payment, thus reducing Medicare expenditures. Additionally, the Medicare statutes exclude Medicare coverage for items and services paid for directly or indirectly by a government entity, subject to certain limitations. This includes the Department of Veterans Affairs, among others. The circumstances detailing when Medicare is primary or secondary are discussed in this report. The law authorizes several methods to identify cases when an insurer other than Medicare is the primary payer and to facilitate recoveries when incorrect Medicare payments have been made. One such method is the data match program, where Medicare recipients are matched against data contained in Social Security Administration and Internal Revenue Service files to identify cases in which a working beneficiary (or working spouse) may have employer-based health insurance coverage. Most recently Congress passed the Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173) expanding information requirements for group health plans, liability insurance (including self-insurance), no fault insurance, and workersâ€TM compensation laws and plans. These entities must submit information to the Secretary of HHS to enhance efforts for coordination of benefits and for any applicable recovery claims. Efforts by both the federal government and private citizens to use the MSP as a vehicle to recover payments made on behalf of beneficiaries for treatment of tobacco-related illnesses to date have not been successful. This report will be updated as necessary to reflect legislative changes.
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight Publisher : ISBN 13 : Total Pages :32 pages Book Rating :4.0/5 ( download)
Book Synopsis Erroneous Payments Under the Medicare Secondary Payer Program by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight
Download or read book Erroneous Payments Under the Medicare Secondary Payer Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight and published by . This book was released on 1991 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Proper Procedures for Filing with Medicare as a Secondary Payer by :
Download or read book Proper Procedures for Filing with Medicare as a Secondary Payer written by and published by . This book was released on 1989 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Secondary Payer written by and published by . This book was released on 2004 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Complete Guide to Medicare Secondary Payer Compliance by : Jennifer C. Jordan
Download or read book Complete Guide to Medicare Secondary Payer Compliance written by Jennifer C. Jordan and published by . This book was released on 2010-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Secondary Payer by : U.s. Government Accountability Office
Download or read book Medicare Secondary Payer written by U.s. Government Accountability Office and published by . This book was released on 2017-08-04 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Centers for Medicare & Medicaid Services (CMS) is responsible for protecting Medicare's fiscal integrity. Medicare Secondary Payer (MSP) situations exist when Medicare is a secondary payer to other insurers, including non-group health plans (NGHP), which include auto or other liability insurance, no-fault insurance, and workers' compensation plans. CMS attempts to recover Medicare payments made that were the responsibility of NGHPs, but CMS has not always been aware of these MSP situations. In 2007, legislation added mandatory reporting requirements for NGHPs that should enable CMS to be aware of these situations. NGHPs reported concerns about the MSP process, and CMS delayed the start of mandatory reporting by NGHPs, in part because of these concerns. This report examines (1) how the initial implementation of mandatory reporting for NGHPs has affected the workload of and payments to MSP contractors, and Medicare savings, and (2) key challenges within the process for MSP situations involving NGHPs and the steps CMS is taking to address those challenges. GAO reviewed relevant MSP-related documents and data on MSP costs, workload, Medicare savings, and contractor performance. GAO also interviewed CMS officials, MSP contractor officials, and NGHP stakeholders."
Author :United States. Department of Health and Human Services. Office of Inspector General Publisher : ISBN 13 : Total Pages :7 pages Book Rating :4.:/5 (962 download)
Book Synopsis Medicare Secondary Payer by : United States. Department of Health and Human Services. Office of Inspector General
Download or read book Medicare Secondary Payer written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 1991 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations Publisher : ISBN 13 : Total Pages :192 pages Book Rating :4.:/5 (319 download)
Book Synopsis Protecting Medicare with Improvements to the Secondary Payer Regime by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Download or read book Protecting Medicare with Improvements to the Secondary Payer Regime written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations and published by . This book was released on 2011 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Defense Practitioner's Guide to Medicare Secondary Payer Issues by : DRI's Medicare Secondary Payer Task Force
Download or read book Defense Practitioner's Guide to Medicare Secondary Payer Issues written by DRI's Medicare Secondary Payer Task Force and published by . This book was released on 2015-03-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Secondary Payer Program by : United States Accounting Office (GAO)
Download or read book Medicare Secondary Payer Program written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-05-27 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Secondary Payer Program: Identifying Beneficiaries with Other Insurance Coverage Is Difficult
Book Synopsis Medicare Secondary Payer by : Kathleen M. King
Download or read book Medicare Secondary Payer written by Kathleen M. King and published by . This book was released on 2012-04-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Secondary Payer (MSP) situations exist when Medicare is a secondary payer to other insurers. The Centers for Medicare & Medicaid Services (CMS) attempts to recover Medicare payments made that were the responsibility of NGHPs, but CMS has not always been aware of these MSP situations. In 2007, legislation added mandatory reporting (MR) requirements for NGHPs. This report examines: (1) how the initial implementation of MR for NGHPs has affected the workload of and payments to MSP contractors, and Medicare savings; and (2) key challenges within the process for MSP situations involving NGHPs and the steps CMS is taking to address those challenges. Charts and tables. This is a print on demand report.