28 Jan MEDICAID’S THIRD PARTY LIABILITY REQUIREMENTS
The Social Security Act, signed into law by President Franklin Roosevelt in 1934, specifies in statute § 1902( a)( 25) of the law "...
Author: Eliott Konsin
04 Jan MEDICAID 2021 – A YEAR IN REVIEW
Syrtis Solutions publishes an annual Medicaid review to help you stay informed. The annual recap focuses on developments, research, and legislation that relates to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary of...
30 Dec MEDICAID NEWS RECAP – DECEMBER 2021
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a summary of last...
01 Dec MEDICAID NEWS RECAP – NOVEMBER 2021
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a summary of last...
29 Nov $98.72 BILLION IN MEDICAID IMPROPER PAYMENTS
Medicaid has been designated a high-risk program by the Government Accountability Office (GAO) since 2003 because of improper payments, poor quality data, and oversight challenges. Earlier this month the Department of Health and Human Services (DHHS) released its Agency Financial Report. In FY 2021 Medicaid’s...
29 Oct MEDICAID NEWS RECAP – OCTOBER 2021
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a summary of last...
28 Oct MEDICAID IMPROPER PAYMENTS CAUSE CONCERN
Under the Payment Integrity Information Act of 2019, the Centers for Medicare & Medicaid Services (CMS) was required to review federal programs at risk of improper payments. The bill tasked CMS to assess what programs are at risk, estimate the number of improper payments, and report...
27 Oct IDENTIFYING TPL IN THE MEDICAID PROGRAM
The vast majority of Medicaid improper payments occur due to antiquated data systems that result in eligibility errors. As the program has grown, identifying primary commercial coverage, also known as Third Party Liability (TPL), has become increasingly more complex and challenging. By law, Medicaid plans...
30 Sep MEDICAID NEWS RECAP – SEPTEMBER 2021
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a summary of last...
28 Sep MEDICAID TPL SOLUTION PRESENTS SIGNIFICANT SAVINGS OPPORTUNITY
Dependence on the Medicaid program has increased exponentially over time. Currently, it is the single largest insurer in the United States, and in FY 2019, it accounted for more than half of all federal funds distributed to states. Unfortunately, as the safety net program has...