decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-24
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Article Overview
This article explains HCFA guidance for Medicare Secondary Payer accounts receivable, focusing on write-off categories, contractor and regional office responsibilities, reporting and approval workflows, system changes, and timing requirements. It is relevant to Medicare contractors, regional office staff, and billing or financial operations teams that handle MSP debt records and related financial reporting. The memorandum also includes implementation reminders, data submission expectations, and a question-and-answer section clarifying scope and administration.
Why This Topic Matters
It helps Medicare payment and recovery operations understand how MSP debt should be tracked, reviewed, reported, and closed under HCFA policy, especially where system processes and approval workflows must be aligned.
Article Sections
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General
Overview of the memorandum’s purpose and the handling of MSP accounts receivable within contractor operations.
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Write-Off – CNC for MSP AR
Guidance on the centralized handling of one MSP write-off classification and its reporting context.
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Write-Off – Closed for MSP AR
Detailed contractor guidance on identifying, evaluating, documenting, and routing MSP debt for a closed write-off classification.
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RO Responsibilities
Regional office review, approval, transfer, and reporting responsibilities related to MSP debt actions.
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Elimination of Automated/Systems Write-Off – Closed Actions for MSP AR; Reminder Regarding Zero Backend Tolerance for MSP AR
Instructions addressing automated system handling and the reminder that manual or automated closures must conform to HCFA review requirements.
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Date for Establishment of MSP AR – Reminder
Reminder on when MSP accounts receivable must be established and how timing applies when payment occurs before demand issuance.
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Miscellaneous Questions/Answers
A clarification section that addresses common implementation questions about scope, timing, reporting, and system treatment.
What You Will Learn
- How HCFA structures MSP accounts receivable write-off handling
- What contractor and regional office roles are described in the memorandum
- What types of reporting and documentation are required for MSP debt actions
- How the memorandum addresses system processing, approvals, and implementation timing
- What clarifications are provided in the question-and-answer section
Who Should Read This
- Medicare contractors
- Regional office MSP coordinators
- Financial management staff
- Accounts receivable and recovery operations personnel
- Coding and reimbursement policy analysts
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