Equal Payments and Prompt Processing in Medicare Advantage
This new law aims to ensure that Medicare Advantage pays healthcare providers at least as much as traditional Medicare. Additionally, it introduces prompt payment rules for claims, which should streamline payments to doctors and hospitals. This means citizens using Medicare Advantage can expect better access to care and faster processing of their claims.
Key points
Payment Parity: Healthcare providers in Medicare Advantage will receive payments no less than in traditional Medicare, potentially increasing doctor availability.
Prompt Payments: Deadlines are set for Medicare Advantage to process claims (14 days for electronic, 30 days for paper), aiming to prevent payment delays for medical facilities.
Clear Rules: Defines what a "clean claim" is and how to handle deficiencies, simplifying the billing process for providers.
Interest for Delays: If Medicare Advantage fails to pay on time, it will owe interest to providers, incentivizing timely payments.
Rights Protection: The act protects the rights of patients and providers, preventing retaliation for pursuing claims.
Introduced
Citizen Poll