Articles, case studies, whitepapers, presentations, insights, research and resources regarding medicare secondary payer (MSP) validation and premium restoration
This topic has been evolving for more than 10 years as litigation and case law have disputed over the issue of whether the private cause of action for double damages under the Medicare Secondary Payer (“MSP”) Act provides Medicare Advantage (“MA”) Plans with the right to bring suit against primary payers.
CMS premiums have a direct impact on your bottom line and there’s a good chance that you’re not receiving the full premiums you’re owed. In fact, you may be getting shorted by millions of dollars in premiums due to MSP.
An exclusive discussion group for Medicare Secondary Payer (MSP) professionals in the healthcare payer industry The dynamic and technical nature of MSP requires professionals to stay on top of changes in the CMS system, changes that can directly affect your Medicare Advantage plan’s bottom line. If MSP impacts your operations and practices, we invite you
The Discovery Health Partners team spent some time earlier this week digging into Medicare at the Health Education Associates Medicare Accounting and Reconciliation conference. We were certainly excited to escape the snow and cold of the Midwest with a couple of days in Florida, and we were (almost) as excited to hear what our health
By now, you’ve discovered how valuable it can be for Medicare Advantage (MA) health plans to validate and correct member records to restore underpaid premiums due to Medicare Secondary Payer (MSP). Many MA plans, however, overlook the necessity to address Prescription Drug (Part D) open records with MSP. Here are four important reasons to address Prescription
When it comes to premiums, many Medicare Advantage (MA) plans are being underpaid because of incorrect Medicare Secondary Payer (MSP) adjustments. It’s a known problem – Commercial plans mandatory Section 111 reporting creates instances of other coverage for a member. This flags the MA plan as the secondary payer for that member resulting in a negative
