28 Oct 80% Medicaid Payments Lost Due to Poor Recovery Methods

A September 2001 report entitled “Medicaid Recovery of Pharmacy Payments by Liable Third Parties” by the U.S. Department of Health and Human Services’ (HHS) Office of Inspector General (OIG), who is charged with protecting healthcare cost containment and the integrity of HHS programs, found that...

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04 Oct Inspector General 2013 Report Shows Increased TPL Savings

A January 2013 report on healthcare cost containment from the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) entitled Medicaid Third-Party Liability Savings Increased, But Challenges Remain describes a substantial increase in the collection of third-party liability (TPL)...

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20 Jul Cost Avoidance and Recovery

Payer of last resort providers are challenged with the difficult task of recovering payments when primary coverage information is not presented by the recipient at the time services are rendered. For a multitude of reasons, many recipients do not share other coverage information or are...

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