Medicare Secondary Payer: Additional Steps are Needed to Improve Program Effectiveness for Non-Group Health Plans

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By Kathleen M. King (au)
Year: 2012
Pages: 47
Binding Paperback
ISBN 978-1-4578-3082-2

Product Code: 1457830825

Description

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.

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