Medicare Secondary Payer Compliance: The Liability Case - Second Edition
Medicare Secondary Payer Compliance: The Liability Case - Second Edition

Author: Roy A. Franco

Publisher: Juris Publishing, Inc.

Published: 2012-12-01

Total Pages: 396

ISBN-13: 1578232732

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"[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.

Medicare and Other Health Benefits
Medicare and Other Health Benefits

Author: U. S. Department Human Services

Publisher: CreateSpace

Published: 2013-10

Total Pages: 36

ISBN-13: 9781493511181

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If you have Medicare and other health coverage, each type of coverage is called a "payer." When there's more than one payer, "coordination of benefits" rules decide who pays first. The "primary payer" pays what it owes on your bills first, and then your provider sends the rest to the "secondary payer" to pay. In some cases, there may also be a "third payer." Whether Medicare pays first depends on a number of things. Be sure to tell your doctor and other health care providers if you have coverage in addition to Medicare. This will help them send your bills to the correct payer to avoid delays. Some people with Medicare have other coverage that must pay before Medicare pays its share of your bill. This guide tells how Medicare works with other kinds of coverage and who should pay your bills first. Also available in Spanish.

Medicare and Other Health Benefits
Medicare and Other Health Benefits

Author: Centers for Medicare & Medicaid Services

Publisher: CreateSpace

Published: 2014-06-30

Total Pages: 30

ISBN-13: 9781500357689

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If you have Medicare and other health coverage, each type of coverage is called a “payer.” When there's more than one payer, “coordination of benefits” rules decide who pays first. The “primary payer” pays what it owes on your bills first, and then your provider sends the rest to the “secondary payer” to pay. In some cases, there may also be a“third payer.” Whether Medicare pays first depends on a number of things,including the situations listed in the chart on the next two pages.However, this chart doesn't cover every situation. Be sure to tell your doctor and other health care providers if you have coverage in addition to Medicare. This will help them send your bills to the correct payer to avoid delays. Note:Paying “first” means paying the whole bill up to the limits of the payer's coverage. It doesn't always mean the primary payer pays first in time.