Program_Memos / 2003 / AB-03-107

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This Program Memorandum from CMS addresses how contractors and regional offices should respond to bankruptcy and state insurer liquidation situations involving Medicare Secondary Payer debt. It explains the general categories of filings covered, the importance of the filing date, coordination and notification responsibilities, reporting and recovery actions, and the effective and implementation dates. The article is intended for Medicare contractors, regional office staff, and related compliance personnel who manage MSP recovery activities and financial reporting.

Why This Topic Matters

It helps Medicare stakeholders recognize which bankruptcy or liquidation events affect MSP debt handling and what administrative processes are triggered.

Article Sections

  1. Background

    Overview of the bankruptcy and liquidation situations covered and why they are relevant to Medicare MSP debt management. Includes general background on filing types and state-ordered liquidation.

  2. Notice of Bankruptcy/Liquidation

    How notice may be received and the need for prompt internal reporting and coordination. Also addresses communication channels and record handling.

  3. Recovery Efforts: RO’s Role

    Responsibilities assigned to regional office staff for gathering case information and coordinating with counsel. Describes the RO’s role in ongoing communication and case handling.

  4. Contractor’s Role

    Responsibilities assigned to contractors when a bankruptcy or liquidation is identified. Covers information gathering, file transmission, and the need to identify affected MSP debts.

  5. Chapter 7 – Liquidation

    Guidance associated with Chapter 7 cases, including the contractor actions expected for this filing type. Addresses reporting and recovery processing in general terms.

  6. Chapter 9 – Municipal Reorganization

    Instructions tied to municipal reorganization cases and the relationship to the broader reorganization guidance. Covers the same general operational area as Chapter 11.

  7. Chapter 11 – Reorganization

    General handling of reorganization cases, including how contractors should manage affected debts and reporting. Also notes what happens if the case later changes filing status.

  8. Chapter 13 – Individuals

    Brief guidance for individual debtor cases and the need for further direction from the regional office. Identifies that this filing type is handled differently from the others.

  9. State Ordered Liquidation

    How contractors should treat state-ordered liquidation proceedings and how they relate to the bankruptcy guidance above. Focuses on operational alignment with earlier sections.

  10. Reminder

    Follow-up reminders on discharged, pending, and dismissed debts and the associated administrative handling. Also notes the use of report coding and consultation requirements.

  11. When Office of General Counsel (OGC) Pursues a Medicare Claim on CMS’s behalf

    What happens when CMS legal counsel decides to pursue a claim in a bankruptcy matter. Describes contractor responsibilities for transfer, documentation, and reporting.

  12. Identified Debtors in Bankruptcy/Liquidation

    Availability of debtor lists from the regional office and the source of subsequent notifications. Summarizes the final administrative communication point.

What You Will Learn

  • The categories of bankruptcy and liquidation situations addressed by CMS.
  • How filing dates affect the handling of Medicare Secondary Payer debt.
  • The general roles of regional office staff, contractors, and counsel in these cases.
  • The reporting, transfer, and notification processes associated with bankruptcy and liquidation matters.
  • The effective, implementation, and discard dates for the memorandum.

Who Should Read This

  • Medicare contractors
  • CMS regional office staff
  • MSP coordinators
  • Compliance and reimbursement staff
  • Healthcare billing and recovery teams

Codes Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?