TITLE

BIG BROTHER IS NOT JUST WATCHING, HE'S SUING: MEDICARE'S SECONDARY PAYER STATUTE EVOLVES IN AGGRESSIVE PURSUIT OF FISCAL INTEGRITY

AUTHOR(S)
Yearout, Christopher C.
PUB. DATE
January 2010
SOURCE
Cumberland Law Review;2010, Vol. 41 Issue 1, p117
SOURCE TYPE
Academic Journal
DOC. TYPE
Opinion
ABSTRACT
In this article, the author discusses the used of Medicare Secondary Payer (MSP) statute by the U.S. federal government to improve the fiscal integrity of the Medicare program. He says that Medicare encountered exorbitant financial losses due to fraud and deceptive implementation of the MSP. He notes that the Congress enacted the MSP as part of the Omnibus Reconciliation Act of 1980 in which the Medicare became the secondary payer to other sources of payment including automobile insurance.
ACCESSION #
58688903

 

Related Articles

  • Get Ready For Tougher Enrollment Screening.  // Medicare Compliance & Reimbursement;10/20/2010, Vol. 36 Issue 20, pp159 

    The article reports that the U.S. Congress approved a number of provisions in the Patient Protection Affordable Care Act for fighting fraud and abuse. It states that one big change is the strengthening of the Medicare screening for applicants and providers revalidating their enrollment. It also...

  • When feds smell fraud, they settle in. Taylor, Mark // Modern Healthcare;04/19/99, Vol. 29 Issue 16, p30 

    Describes how the United States federal government treats Medicare billing fraud. Comments from Neil Caesar, president of the Health Law Center; Information on cases of fraud.

  • It's payday.  // People's Medical Society Newsletter;Aug98, Vol. 17 Issue 4, p5 

    Reports that the United States federal government's push against Medicare fraud has resulted in an increased Medicare savings. Growth of fraud-fighting capabilities in the government; Reports given by the government which was published in the `Modern Healthcare' in February 2, 1998.

  • Fighting the fraud police.  // MLO: Medical Laboratory Observer;Jan98, Vol. 30 Issue 1, p10 

    Reports on the efforts of the American Hospital Association to stop the US Congress from using the False Claims Act in fraud investigations of Medicare billing. Alleged use of the law to coerce hospitals to settle false claims allegations rather than attempt a legal defense; Penalties under the...

  • Drug rule is ditched by Obama. Viebeck, Elise // Hill;3/11/2014, Vol. 21 Issue 31, p1 

    The article reports that the administration of U.S. President Barack Obama abandons the plan to alter the drug coverage of Medicare after it was criticized by the Congress and lobbying industry.

  • Budget deal extends Medicare's 2% cuts. Mullaney, Tim // McKnight's Long-Term Care News;Jan2014, Vol. 35 Issue 1, p1 

    The article reports on the passage of a federal budget deal in the U.S. Congress in December 2013 which allows the continuation of Medicare reimbursement cuts of 2% until 2023.

  • How to Save MEDICARE. Meyer, Harris // Managed Healthcare Executive;Mar2012, Vol. 22 Issue 3, p27 

    The article discusses ways from experts on how to improve Medicare. It suggests enhancing care coordination for people covered by Medicaid and Medicare and expanding anti-fraud initiatives. It also recommends tightening Medicare coverage policy for unproven and new medical services and reforming...

  • Get Ready For Mandatory Compliance Plans.  // Eli's Hospice Insider;Jun2011, Vol. 4 Issue 7, pp44 

    The article offers tips on how to avoid health care abuse and fraud, considering the mandatory compliance plans. It states a claim will not be paid by the Medicare immediately if there is a suspected abuse. It says that the overage should be returned if an overpayment is received from the...

  • Medicare Fraud-Busters Target Patient Transfer Reporting. Sozio, Stephen G.; Noss, Walter W. // Trustee;Sep2002, Vol. 55 Issue 8, p46 

    Presents information on the Prospective Payment System (PPS) of the U.S. government for dealing with health care fraud. Determination of Medicare reimbursements under the PPS; Penalties for the submission of a false bill to Medicare; Steps to reduce potential liability under the PPS.

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