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United States: Medicare Secondary Payor Reporting Requirements Will Affect Self-Insured Health Care Providers, Captive Insurers
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13 January 2009
Article by Thomas M Jones and Joan Polacheck

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 added new mandatory reporting requirements for insurers that will now enable CMS to ensure that it has the necessary information to determine when Medicare's financial responsibility is secondary.

U.S. federal law provides that, under certain circumstances, Medicare is a secondary payor to commercial insurance and self-insurance. The Medicare Secondary Payor (MSP) rules describe the specific circumstances where Medicare does not have primary responsibility for paying the medical expenses of a Medicare beneficiary....
 
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