As part of the prior postings, we went over the 3 main "practices" states ought to adopt in order to cost avoid and save taxpayer money. For states to possess a genuinely effective TPL plan, prompt identification of any additional coverage is needed during the time of Medicaid registration. Also, cost avoidance discovery must be instant whenever claims are made, and claims that were paid in error should be recovered swiftly. The ideal situation is one through which federal regulations and state laws merge to establish a genuinely comprehensive DRA Policy that recognizes additional health insurance coverage with speedy recovery of each claim.

A Complete TPL State Program Contains:.

The active identification of other coverage at enrollment.
The quick avoidance of the cost of claims.
The ability to recover claims paid incorrectly.

If embraced by all states, the preceding suggestions lend towards the meaningful recovery of money for state Medicaid agencies, along with the saving of money. The onus of these economic times is to do more with less money. And, as the Affordable Care Act (ACA) comes to be effective on Jan. 1, 2014, Medicaid claims are going to expand. That's why bolstering DRA-compliant legal language within all states will lend to improved cost recovery and additional savings for the healthcare of the whole country.

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