The vast majority of Medicaid improper payments occur because of antiquated data systems that result in eligibility errors. As the Medicaid program has grown, finding primary commercial coverage, also referred to as Third Party Liability (TPL), has become increasingly more complicated and challenging. By law,...
The Social Security Act, signed into law by President Franklin Roosevelt in 1934, stipulates in the statute ยง 1902( a)( 25) of the legislation "...
Medicaid currently fails at providing a system that efficiently and accurately saves and utilizes member data. As Medicaid is a joint state and federally run program, there are many issues with coordinating data platforms. Different states have their own unique data processing and storing, and...