Complying with New Medicare Reporting Requirements

Complying with Reporting Requirements

As someone who lives in the bizarre world of Medicare on a daily basis, this is the right thing to do. For too long, the provider has had the onus of trying to explain to lawyers and auto insurance carriers, that Medicare becomes an MSP if there is other TPL (Third Party Liability) carriers. We get told we will be sued, reported, or just left out of the payment loop if we do not bill Medicare. As an employee of a medical provider organization, we have tried for years to comply while hospitals, physician's, and other providers and suppliers just file Medicare and Medicaid because it is the quickest and often the easiest to do. I applaud this action. Now, someone needs to tackle the dialysis issue. Dialysis centers need to be the responsible provider for ambulance transports. Only then will physician's, nursing homes, and dialysis centers stop ordering needless stretcher transport to fit their agenda while leaving ambulance services transporting patients for free because they do not meet medical necessity. Only by placing the responsibility on the right sector can we even begin to solve our health care crisis.