decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-11
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Article Overview
This 2000 HCFA program memorandum explains how Medicare contractors and regional offices should handle Medicare Secondary Payer accounts receivable tied to settlement-related group health plan cases, including reporting workflows, status updates, transfers, and write-off handling. It is relevant to Medicare administrative staff, contractor finance teams, and compliance personnel who manage MSP receivables, reporting systems, and quarterly cleanup activity.
Why This Topic Matters
The article matters because it outlines the operational and reporting framework used to reconcile settlement-related MSP receivables and related system records across contractors, regional offices, and HCFA central office. It also addresses how unsupportable receivables are identified and recorded, and it specifies implementation timing and coordination responsibilities.
Article Sections
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Subject and overview
Introduces the memorandum’s scope and the general accounts receivable cleanup effort under Medicare Secondary Payer administration.
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Identification and write off/adjustment of MSP settlement related GHP based AR
Explains the settlement cleanup process, including the use of settlement codes, related tracking information, and MPaRTS status handling.
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Contractor responsibilities
Describes contractor duties for reviewing receivables, coordinating with regional offices, completing quarterly reporting, and maintaining supporting records.
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HCFA RO responsibilities
Outlines the regional office role in receiving transferred receivables, reporting them upward, and coordinating the associated reporting process.
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HCFA CO responsibilities
Summarizes central office responsibilities for tracking and accounting for the receivables within HCFA financial systems.
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Write off of unsupportable MSP AR -- All Types of MSP AR
Addresses treatment of receivables that cannot be supported by sufficient case information and the related recordkeeping expectations.
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Health Insurance Association of America (HIAA) Decision
Discusses how the HIAA decision is treated in relation to MSP receivables and why separate adjustment instructions are not provided here.
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Write Off -- Currently Not Collectible
Notes a separate write-off category referenced for non-MSP receivables and states its applicability to MSP receivables in this memorandum.
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Funding
Summarizes the memorandum’s discussion of workload-based funding and the limits on systems changes for the cleanup effort.
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Effective Date and Implementation Date
States when the memorandum becomes effective, the implementation timeline, and the discard date.
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Attachment
Provides the reporting template and required fields for the settlement cleanup summary submission.
What You Will Learn
- How settlement-related MSP receivables are organized for cleanup and reporting
- What kinds of quarterly summaries and detailed reports are expected
- How contractor, regional office, and central office responsibilities are divided
- How unsupportable MSP receivables are handled at a high level
- What implementation timing and administrative references apply to the memorandum
Who Should Read This
- Medicare contractors
- Regional office MSP coordinators
- HCFA central office staff
- Revenue cycle and finance staff
- Medical billing compliance teams
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