The term used to reference any accident, illness, injury or ingestion reported for the purposes of Medicare Secondary Payer Recovery.
Intent to Refer
The MSPRC shall select delinquent debts from their existing debt balances for issuance of the Intent to Refer (ITR) letter to Treasury, when the debt is over 61 days delinquent. The ITR letter will advise the Debtor of CMS' intention to refer the debt to treasury for further collection, if left unresolved.
Internet Only Manuals (IOMs)
The Internet-only Manuals (IOMs) are a replica of the Agency's official record copy. They are CMS' program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the IOMs to administer CMS programs. They are also a good source of Medicare and Medicaid information for the general public.
IRS Data Match
Congress enacted a law (Section 6202 of the Omnibus Budget Reconciliation Act of 1989) to provide the Centers for Medicare & Medicaid Services (CMS), formerly the Health Care Financing Administration, with better information about Medicare beneficiaries' Group Health Plan (GHP) coverage.
The law requires the Internal Revenue Service (IRS), the Social Security Administration (SSA), and CMS to share information that each agency has about whether Medicare beneficiaries or their spouses are working. The process for sharing this information is called the IRS/SSA/CMS Data Match.
The purpose of the Data Match is to identify situations where another payer may be primary to Medicare.
Sign-up for MSPRC E-Newsletter & View Past Newsletters