Federal (United States) · Agency guidance
Chapter 7
134 sections
134 sections
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10Medicare’s Right of Recovery
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.1General
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.2Medicare and Medicaid Duplicate Payment
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.3Determination of Primary Payers among Non-Medicare Payers
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.4MSP Contractor Correspondence
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.5Handling Freedom of Information Act (FOIA) and Subpoena Duces Tecum
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.6Referral of Cases to Regional Office for Possible Government Intervention
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.7Recovery from Estate of Deceased Beneficiary
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.8Wrongful Death Claims
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.9MSP Contractor Recovery Files
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.10Healthcare Integrated General Ledger and Accounting System (HIGLAS)
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.11Undeliverable Correspondence
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.12Time Limitation to Sue for Recovery of NGHP Debt
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 10.12.1Federal Government’s Right to Sue and Collect Double Damages
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20Overpayment Due to GHP Coverage
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.1Amount of GHP Primary Payments
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.2GHP Demand Process
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.3GHP Demand Letters
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.4GHP Demand Activities
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.5GHP Recovery Instructions to A/B MACs and DME MACs
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.5.1Automation of the Duplicate Primary Payer (DPP) Process
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.5.2The Recovery of Medicare Duplicate Payment Claims When the Department of
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.6GHP Communications Received in Response to Recovery Actions
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.7Recovery Where GHP Acknowledges Specific Debt (42 C.F.R. § 411.25)
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.8Recovery from the Provider, Physician, or Other Supplier
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.9Recovery from a Beneficiary Who Has Received Primary Payment from Both
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 20.10Courtesy Copy of All MSP GHP-Based Recovery Correspondence to the
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30Overpayment Due to Workers’ Compensation Coverage
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.1General
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.2A/B MACs and DME MACs Actions for Workers’ Compensation Recovery
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.3Time Limit for Filing WC Claims
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.4Duplicate Payment Received by Provider, Physician, or Other Supplier
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.5Medicare Paid for Services Which Should Have Been Paid for by WC
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.6Medicare Made Party to WC Hearing
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.7Effect of Settlement
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40Overpayment Recoveries from Liability Insurance Including No-Fault Insurance,
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.1General
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.2Provider, Physician, Other Supplier, and Beneficiary’s Responsibility with
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.3Conditional Primary Medicare Benefits
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.4Services Covered Under No-Fault Insurance Where Liability Claim Also Filed
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.5Action if a Liability Insurance Payment Has Been Made to the Provider,
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.6No-Fault Insurance Pays and Medicare Makes No Secondary Payment
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.7No-Fault Insurance Does Not Pay All Charges Because of Deductible or
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.8Other Situations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.9Medicare’s Recovery from a Primary Payer
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.10Pre-Settlement Communications
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.11Designations in Settlements
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.12Allegation of Pre-existing Conditions
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.13MSP Contractor Action if a Liability Claim Is Pending and Medicare Benefits
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.14Recovery from Liability Insurers
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.15Recovery of Liability or No-Fault Payments from the Beneficiary
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.16Calculating Medicare’s Share of Beneficiary Procurement Costs
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.17CMS Incurs Procurement Costs
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.18Medicare Liability Settlement Claim Reimbursement Summary
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.19Collecting Interest on Medicare’s Claim
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.20Installment Payments and Multiple-Party Settlement Checks
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.21Appeals Procedures for MSP Liability and Waiver Determinations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.22Initial Determinations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.23Notification of the Right to Appeal
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.24Appeals of MSP Liability Determinations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 40.25Role of MSP Contractors in MSP Liability Appeals Process
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50Requests for Compromise or Waiver of Medicare’s Recovery Claim
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.1Requests That Medicare Accept Less Than Its Claim
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.2Authorities for Agreeing to Compromise or Waiver of Medicare’s Claim
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.3Compromise of Claim, or Suspension or Termination of Collection, Under the
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.4Compromise Exercised Only by CMS
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.5Documentation Necessary for Cases Where Compromise is Requested
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.6Waivers under Section 1870(c) of the Act
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.7Beneficiary Right to Request Waiver of Medicare’s Claim
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.8Beneficiary Must Submit Waiver Request in Writing
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.9Timely Processing of Waiver Determinations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.10Steps for Waiver Determination under Section 1870(c) of the Act
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.11Allowing Out-of-Pocket Expenses in Waiver Determinations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.12Factual Data in Determining Whether a Full or Partial Waiver is Warranted
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.13When Recovery Would Defeat the Purpose of Title II or Title XVIII
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.14Examples of Financial Hardship in Waiver Determinations
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.15Recovery Would Be Against Equity and Good Conscience
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.16When the Beneficiary Fails to Meet Either Waiver Criterion under Section
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.17Potential Waiver Indicators
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.18Waiver under Section 1862(b) of the Act
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60MSP Accounts Receivable (AR) Procedures
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.1General
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.2Collection of MSP Debts
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.3Identification of MSP Write-off/Closed Accounts
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.4Write-off/Closed Definition
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.5Documentation Required for Write-off/Closed
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.6Bases for Termination of Collection
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.7Criteria for MSP Based Debts to Qualify for Write-off/Closed
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.8Data Requirements and Format for Recommendations for Write-off/Closed
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.9Write-off/Closed Debts Which Have Been Returned by Treasury or Recalled by
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.10Debts Returned by Treasury as Uncollectable (RU) or Out of Business (RN)
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.11Write-off/Closed Approval Process
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.12Financial Reporting for MSP Write-off/Closed
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.13Date for Establishment of MSP AR
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70Medicare Secondary Payer (MSP) Debt Collection and Treasury Referral
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.1General
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.2Background
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.3Debt and Debtor Definitions
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.4Debt Selection and Verification
- Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.5Debt Selection Criteria