Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.2

Authorities for Agreeing to Compromise or Waiver of Medicare’s Claim

Last amended: 2021Year: 2021Length: 94 wordsOfficial source
50.2 – Authorities for Agreeing to Compromise or Waiver of Medicare’s Claim (Rev. 10629; Issued: 03-23-21; Effective: 04-19-21; Implementation: 04-19-21) There are three statutory authorities under which Medicare may accept less than the full amount of its claim: a) FCCA (31 U.S.C § 3711); b) Section 1870(c) of the Act; and c) Section 1862(b) of the Act. Each statute contains different criteria upon which decisions to compromise, waive, suspend, or terminate Medicare’s claim may be made. Likewise, the exercise of each authority is limited to specific entities. See 42 C.F.R. §§ 411.28 and 405.376.
Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 50.2: Authorities for Agreeing to Compromise or Waiver of Medicare’s Claim | Justis AI