BI’s Article search uses Boolean search capabilities. If you are not familiar with these principles, here are some quick tips.

To search specifically for more than one word, put the search term in quotation marks. For example, “workers compensation”. This will limit your search to that combination of words.

To search for a combination of terms, use quotations and the & symbol. For example, “hurricane” & “loss”.

Login Register Subscribe

Medicare Secondary Payer compliance affected by government shutdown

Medicare Secondary Payer compliance affected by government shutdown

The federal government shutdown has blocked some portions of Medicare Secondary Payer compliance from being conducted, according to Roy Franco, principal of Medicare compliance firm Franco Signor L.L.C.

The Centers for Medicare and Medicaid Services requires insurers and self-insured employers to reimburse it for medical treatment it paid on behalf of workers compensation and liability claimants. CMS issues notifications and approvals for Medicare reimbursements that it is owed.

In a blog post Friday, Mr. Franco said that key personnel within CMS have been furloughed during the shutdown, prohibiting the approval of Medicare set-asides — accounts that Medicare requires payers to fund for a Medicare beneficiary's future medical care.

Mr. Franco, who is immediate past chairman of the Washington-based Medicare Advocacy Recovery Coalition, said private contractors that handle certain Medicare Secondary Payer compliance tasks are still operating during the shutdown.

Read Next