医疗保险计划；关于责任保险（包括自保）、无过失保险以及工伤赔偿法律和计划的医疗保险第二支付方认定的上诉权。最终规则。

Medicare program; right of appeal for Medicare secondary payer determinations relating to liability insurance (including self-insurance), no-fault insurance, and workers' compensation laws and plans. Final rule.

出版信息

Fed Regist. 2015 Feb 27;80(39):10611-7.

Abstract

This final rule implements provisions of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (SMART Act) which require us to provide a right of appeal and an appeal process for liability insurance (including self-insurance), no-fault insurance, and workers' compensation laws or plans when Medicare pursues a Medicare Secondary Payer (MSP) recovery claim directly from the liability insurance (including self-insurance), no-fault insurance, or workers' compensation law or plan.

摘要

本最终规则实施了《2012年加强医疗保险与偿还纳税人法案》（《精明法案》）的相关规定，该法案要求我们在医疗保险直接向责任保险（包括自我保险）、无过失保险以及工伤赔偿法律或计划提出医疗保险第二付款人（MSP）追偿索赔时，提供上诉权及上诉程序。