Medicare Claims definition

Medicare Claims means any and all Claims relating to Tort Claims by the Centers for Medicare & Medicaid Services of the United States Department of Health and Human Services and/or any other agent or successor Person charged with responsibility for monitoring, assessing, or receiving reports made under MMSEA and pursuing Claims under MSP, including Claims for reimbursement of payments made to Tort Claimants who recover or receive any distribution from the Trust and Claims relating to reporting obligations.

Medicare Claims means Claims for benefits paid, received or accrued to a Tort Claimant or Unknown Tort Claimant pursuant to the MMSEA or the MSPA.

Medicare Claims means Claims for benefits paid, received or accrued to an Abuse Claimant or Future Claimant pursuant to the MMSEA or the MSP.‌

Examples of Medicare Claims in a sentence

• Refer to the Medicare Claims Processing Manual, Chapter 10, “Home Health Agency Billing,” for a more in depth discussion of home health services.

• See the Medicare Claims Processing Manual, Chapter 11, “End Stage Renal Disease,” for instructions for billing and processing claims for EPO under Method 1 and Method 2.Note that hematocrit readings are required on claims.

• DHA will follow Medicare Claims Processing Manual, Chapter 15, and reimbursement will be based on Medicare’s AFS, except as provided under paragraph 3.2.1 during DHA’s transition to the fully phased-in Medicare AFS or as found in paragraph 3.5.3 (reimbursement of joint response where there is no agreement between the BLS and ALS provider) and in paragraph 3.6.6 (treat-and-release).

• For documentation requirements specific to E/M services furnished by physicians and certain nonphysician practitioners, see Chapter 12, section 30.6 of the Medicare Claims Processing Manual, publication 100-04.

• See the Medicare Benefit Policy Manual, Chapter 16, “General Exclusions from Coverage,” for exclusions from coverage that apply to vision care services, and the Medicare Claims Processing Manual, Chapter 12, “Physician/Practitioner Billing,” for information dealing with payment for items and services furnished by optometrists.

More Definitions of Medicare Claims

Medicare Claims means any and all Claims relating to Tort Claims or Claims against any of the Protected Parties, or against any Person or Entity covered by the Insurance Policies or Certificates, to the extent such Claims, directly or indirectly, arise out of, relate to, or

Medicare Claims means any and all Claims against the Trust, any Settling Insurer, or any Protected Party, brought or asserted by the Centers for Medicare & Medicaid Services of the United States Department of Health and Human Services and/or any other agent or successor Person charged with responsibility for monitoring, assessing, or receiving reports made under MMSEA and pursuing Claims under MSPA, relating to any payments in respect of any Survivor Claims, including Claims for reimbursement of payments made to Survivor Claimants, who recover or receive any distribution from the Trust, and Claims relating to reporting obligations.

Medicare Claims means any and all Claims by CMS against the Trust, any Settling Insurer, or any Protected Party, under MMSEA and under MSP, that relate to any payments in respect of any Tort Claims, including Claims for reimbursement of payments made to Tort Claimants who recover or receive any distribution from the Trust and Claims by CMS relating to reporting obligations.

Medicare Claims means claims against Buyer made subsequent to the --------------- Closing by federal or state agencies which have made payments to Seller under the Medicare program seeking to recover or recoup overpayments for services performed by Seller at the Facilities prior to Closing.

Medicare Claims means C laims for reimbu rsementof payments mad e to Tru st C laim hold ers who recover from the P lan Tru st.

Medicare Claims means any claim for Medicare benefits submitted relating to Your Provider number or name for which You have received communications from the Commonwealth in relation to such claim.

Medicare Claims means any and all Claims relating to Tort Claims by the Centers for Medicare & Medicaid Services of the United States Department of Health and