Third Party Liability Archives - Page 3 of 3

04 Oct Inspector General 2013 Report Shows Increased TPL Savings

Posted at 16:41h in Deficit Reduction Act, Health and Human Services, Medicaid, Third Party Liability, Uncategorized

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)...

13 Sep Effective TPL Plan Components That Ensures Cost Avoidance

Posted at 19:13h in Coordination of Benefits, Deficit Reduction Act, Medicaid, Payers of Last Resort, Third Party Liability

In the previous postings, we discussed the three main "practices" states should adopt in order to cost avoid and save taxpayer money. For states to have a truly effective TPL plan, timely discovery of any additional coverage is needed at the time of Medicaid enrollment....

05 Sep State Practice 3: Mandate Timely Processing of Claims

Posted at 19:01h in Deficit Reduction Act, Medicaid, Payers of Last Resort, Third Party Liability

Put Some Sense into Processing Claims in a Timely Manner The practice of an MCO or Medicaid billing a health insurance provider is backwards. It’s really the responsibility of the commercial insurer to make the initial payment, so that insurance claims are not delayed, which is...

23 Aug State Practice 1: Insurer Cooperation

Posted at 23:45h in Medicaid, Payers of Last Resort, Third Party Liability

For any state to gain an effective TPL plan, immediate and effective discovery of additional coverage is needed at Medicaid enrollment. Also, cost avoidance discovery must take on immediacy when claims are made and past mistakes need to be solved quickly. What works best is...

Third Party Liability

04 Oct Inspector General 2013 Report Shows Increased TPL Savings

13 Sep Effective TPL Plan Components That Ensures Cost Avoidance

05 Sep State Practice 3: Mandate Timely Processing of Claims

23 Aug State Practice 1: Insurer Cooperation

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Third Party Liability

04 Oct Inspector General 2013 Report Shows Increased TPL Savings

13 Sep Effective TPL Plan Components That Ensures Cost Avoidance

05 Sep State Practice 3: Mandate Timely Processing of Claims

23 Aug State Practice 1: Insurer Cooperation

13 Aug Federal Third Party Liability Requirements

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LINKS

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