TITLE

Liability Claims in the Medicare Secondary Payer Arena: Planning the Medicare Set-Aside

AUTHOR(S)
Joyner, Charles D.; Harper, Christine E.
PUB. DATE
April 2011
SOURCE
FDCC Quarterly;Spring2011, Vol. 61 Issue 3, p288
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The article presents three ways to protect the interest of Medicare and enforce the Medicare Secondary Payer Act (MSPA), which include conditional payments, Medicare set-aside, and the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA). It says that Medicare has a statutory right of recovery if it has a conditional payment on behalf of the injured party. Furthermore, information on the Medicare Set-Aside permit funds reserved for the future needs of Medicare beneficiaries is presented.
ACCESSION #
66998714

 

Related Articles

  • Bust 4 Common Myths to Overcome MUE Denial Challenges.  // General Surgery Coding Alert;Dec2010, Vol. 12 Issue 12, p92 

    The article presents common myths to address in order to overcome medically unlikely edit (MUE) denial challenges in Medicare. Jillian Harrington of ComplyCode states that advance beneficiary notice (ABN) cannot be used to transfer payment responsibilities to the beneficiary. It says that one...

  • Updating the health care coding system.  // AHA News;10/18/2004, Vol. 40 Issue 21, p6 

    Reports on the plan of the U.S. Centers for Medicare & Medicaid Services (CMS) to update the coding system used to identify and pay for health care items and services as of October 2004. Time frame for the project; Duties of the CMS Council on Technology and Innovation.

  • MEDICARE PART D LOW-INCOME SUBSIDY: Assets and Income Are Both Important in Subsidy Denials, and Access to State and Manufacturer Drug Programs Is Uneven. A. Bruce Steinwald // GAO Reports;9/5/2008, p1 

    The article presents a report from the U.S. Government Accountability Office (GAO) regarding the utilization of and access to Part D prescription drugs by Medicare beneficiaries. The report focuses on the assets and income in low-income subsidy denials from 2006-2007 and programs that provide...

  • Dual eligibles sue Part D.  // Drug Topics;2/19/2007, Vol. 151 Issue 4, p9 

    The article reports on the class-action lawsuit filed by dual-eligible patients against the U.S. Department of Health and Human Services (HHS) secretary Michael O. Leavitt. The case is focused on the problems experienced by dual-eligible patients who were shifted from Medicaid and other health...

  • Appendix I: Social Security Administration Application for the Low-Income Subsidy, 2008.  // GAO Reports;9/5/2008, p23 

    Several forms for applying for the low-income subsidy that relates to the report released by the Government Accountability Office (GAO) regarding utilization of and access to Part D prescription drugs by Medicare beneficiaries.

  • Appendix II: Comments from the Centers for Medicare & Medicaid Services.  // GAO Reports;9/5/2008, p31 

    Comments from Vincent J. Ventimiglia and Kerry Weems of the U.S. Centers for Medicare and Medicaid Services that relate to the report released by the Government Accountability Office regarding utilization of and access to Part D prescription drugs by Medicare beneficiaries.

  • Appendix III: Comments from the Social Security Administration.  // GAO Reports;9/5/2008, p33 

    Comments from Michael J. Astrue, commissioner of the U.S. Social Security Administration, that relate to the report released by the Government Accountability Office regarding utilization of and access to Part D prescription drugs by Medicare beneficiaries.

  • Appendix IV: GAO Contact and Staff Acknowledgments.  // GAO Reports;9/5/2008, p34 

    Information on the contract, objectives and public affairs that relate to the report released by the U.S. Government Accountability Office regarding utilization of and access to Part D prescription drugs by Medicare beneficiaries.

  • Invalid Prescriber IDs Bill Medicare $1 Billion.  // Journal of AHIMA;Aug2010, Vol. 81 Issue 8, p16 

    The article reports on the 1.2 billion dollar paid by Medicare drug plans and beneficiaries for more than 18 million prescriptions containing invalid prescriber identifiers, which are not fully controlled by the Part D plans set by the Centers for Medicare and Medicaid Services in the U.S.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics