Medicare Parts
These two parts together are often referred to as "traditional Medicare"
What are Parts A and B?
In 1965, the government enacted the Social Security Act, which created this government-sponsored health insurance.
What is Medicare?
What is Liability Medicare Set-Aside?
If I need to send a document with someones personal health information who do I email?
Lucy, SHIBA Admin Assistant
Who is the director at the Dept of Insurance?
Dean Cameron
1997, this part creates an alternative to traditional Medicare by involving private contractors
When was Part C enacted?
The two key functions of the MSP Act
What are shifting fiscal responsibility for otherwise-covered services to a primary plan and creating an obligation that prevents Medicare from payment responsibility for future care when primary funds are available?
Idaho is a part of this CMS Region
What is Region 10?
If I want to have fun who do I go to?
Michelle!
I am hosting a big concert at Outlaw Field. Who do I contact to get everything going?
Although Part C was originally referred to as "Medicare + Choice," today it is known as this
What is Medicare Advantage?
These parties all have liability when it comes to ensuring that conditional payments are repaid to Medicare when a primary plan makes payment?
Who are the Plaintiff/Claimant, the Plaintiff's attorney, and the Primary Plan/Insurer?
LMSAs, if selected as the funding vehicle, can be administered in these two ways.
What is self-administered or administered by a third-party?
If I have a Q regarding a beneficiary / medicare who do I go to?
I think there is some fraud happening. Where can I go to report this?
Email Colleen or direct the beneficiary to SHIBA Complaint form online
This section provides voluntary drug benefits to members
What is Part D?
CMS can recover this if it has to sue to recover an unpaid conditional payment?
What are double damages?
According to the September 29, 2011, Charlotte Benson memo, an LMSA is definitively not required if the Plaintiff has this.
What is a statement from the treating physician that future medical care is not required to address accident-related injuries?
If I have a Q about PDEO who do I contact?
Colleen!
Where is the DOI located?
Downtown Boise behind the capitol
To date, the number of responsible reporting entities that have been fined the $1,000/day penalty for non-compliance with Section 111 reporting
What is none?
In a truly shocking turn of events (not), this was withdrawn on October 13, 2022.
What is the NPRN relating to clarification of existing MSP obligations associated with future medical items relating to liability insurance?
I have someone who needs to set up an appointment with SHIBA. Who do I have them reach out to?
SHIBA Helpline (Matt and Lawrence)