What The 'Medicare Intravenous Immune Globulin (IVIG) Access Act' Would Require of The Department of Health and Human Services

1. Provide Medicare beneficiaries and authorized insurers with a definitive conditional payment amount within a set timeframe before settlement
2. Establish a process through which Medicare beneficiaries can dispute the conditional payment amount
3. Attempt to eliminate the required submission of Social Security Numbers (SSNs) or Health Insurance Claim Numbers (HICNs) as part of Section 111 reporting
4. Clarify that the $1,000 per day per claimant penalties are discretionary rather than mandatory
5. Recognize a three-year statute of limitations governing MSP recovery and penalty actions

Source: Lexology
Source URL: http://www.lexology.com/library/detail.aspx?g=bb58d2fa-e579-...

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