Third-party liability, also known as TPL, is the legal requirement of third parties to pay part or all of the costs for medical assistance under a Medicaid state plan. In other words, if a beneficiary has other forms of health insurance, those primary payers are...
Syrtis Solutions publishes a monthly Medicaid news roundup to help you stay up-to-date. The monthly roundup highlights developments, analysis, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
Improper claims payments are costing Medicaid billions. A frequent misunderstanding is that these payments originate from fraud and abuse when the majority stem from prosaic, mundane issues such as eligibility errors and outdated data systems. Take advantage of this opportunity to receive a free quantitative...
Syrtis Solutions publishes a monthly Medicaid news recap to help you stay informed. The monthly roundup concentrates on developments, analysis, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a list...
In 2018, the Trump Administration and GOP made numerous efforts to overturn the ACA and establish federal spending caps on the Medicaid program to decrease costs. These initiatives were ultimately unsuccessful; however, several states expanded their Medicaid programs and introduced work requirements during this time. According...
Syrtis Solutions distributes a monthly Medicaid news recap to help you stay informed. The monthly roundup highlights developments, research, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a list...
According to federal agency data from PaymentAccuracy.gov and the Office of Management and Budget, the federal government spent an estimated $247 billion in improper payments in 2022. The data also uncovered that the Department of Health and Human Services' Medicaid program represented the majority of...
Syrtis Solutions sends out a monthly Medicaid news recap to help you stay up-to-date. The monthly recap focuses on developments, research, and legislation that relates to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a...
The Government Accountability Office just recently released its updated High-Risk List. The update is part of the biennial High-Risk Series launched in 1990 that identifies government operations vulnerable to fraud, waste, abuse, and mismanagement. The current report marks the twentieth consecutive year that Medicaid has...
Syrtis Solutions sends out a monthly Medicaid news summary to help you stay up-to-date. The monthly summary focuses on developments, research, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is...