Third Party Liability (TPL) Repayment Letters - December 2013

The University of Massachusetts Medical School (UMMS) is under contract with the Office of the Medicaid Inspector General (OMIG) to perform traditional Medicare appeals to ensure providers seek reimbursement from Medicare and all other third party payors before submitting a Medicaid claim. As always, Medicaid is the payor of last resort.

OMIG has sent notifications to providers who have episodes of care that were paid by Medicare under the Traditional Medicare Appeals Initiative. The notice will be sent to those identified providers along with a case selection report listing the beneficiaries and dates of service covered by Medicare.

As in the previous recovery, OMIG is only requesting that each agency return the amount paid by Medicare. They encourage providers who receive this notice to review their records and contact UMMS with any questions. Please contact the UMMS Medicare Appeals Team at 866-626-7594.

UMMS has provided LeadingAge NY with the list of providers; you may contact me by email or by phone to find out if you are on the list.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871.