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From the Belmar Press Room on the Borough Website

Correspondence between the Borough and the First Aid Squad
Click the Image for the Press Room Notice on the Borough Website.
Click the Links below the Image for the Letters Files.


Click here for Letters File
Click here for Letters File 2


 
Thank you to The Borough for posting these Documents in one place
 

5 Comments

  1. Non partisan residen wrote:

    The BFAS’ professional medical biller must have, should have, know that all covered medical providers must adhere to the FEDERAL GOVERNMENT Medicare Rule 42 C.F.R % 414.21 regarding copay balance billing. Former Councilman Wright was very concerned about Belmar’s exposure to that obligation during his time on Belmar Council back when Mayor P was in office. Research was available then. CommonsenseforBelmar may still have those meetings. Or Doherty’s paper trail? Belmar Political softball wants and beneficent desires are being overseen by the Federal Government and we have to follow the rule of law. Providers who chose to deviate can suffer which translate to Residents and Visitors suffering. Belmar Residents have paid high prices in the past for Cavalier attitudes of past Administrations losing many lawsuits. Following the thread provided above by TheBelmarBlog Editor today has finally cleared up many half truths. Thank you

    Wednesday, July 14, 2021 at 1:22 pm | Permalink
  2. Editor wrote:

    All of the meetings recorded for CommonSenseforBelmar are still available on Youtube.

    Wednesday, July 14, 2021 at 2:34 pm | Permalink
  3. Ken Pringle wrote:

    #1. The BFAS’s billing company complied with the Medicare regs governing billing for co-pays. The problem was that the regs permitted the BFAS to waive co-pays for Belmar residents only if the Borough’s annual stipend to the BFAS at least equaled that amount. As of the fall of 2020 when the BFAS asked me to look at the issue, it did not. Indeed, even though the Borough knew that the BFAS was in serious financial straits, it was not until the very last meeting of 2020 that the Mayor & Council approved paying the BFAS the second half ($16,500) of the $33,000 stipend amount it had budgeted.

    Yes, the issue of whether the BFAS should bill Medicare and other insurers for its services came up when Councilman Wright and I served together on the Council. The Council opposed the idea then because it was not clear under the Medicare regulations whether the BFAS could lawfully waive co-pays for residents (even if the Borough reimbursed the BFAS for that cost). We were concerned that some residents would be reluctant to call for help if they thought they might be charged for co-pays.

    The waiver of co-pay issue was not clarified until 2014 when the Office of Inspector General for HHS issued OIG Advisory Opinion No. 14-09. The BFAS did not begin billing insurers until sometime in 2018.

    Wednesday, July 14, 2021 at 3:14 pm | Permalink
  4. Charitable fund jeop wrote:

    Be very, very careful about potential clawback exposures if the “PROVIDER” didn’t obtain appropriate waivers of copays as required by law for over 20 years. Onus is on the “PROVIDER” who probably hired sophisticated billing professionals who were insured.

    Wednesday, July 14, 2021 at 7:31 pm | Permalink
  5. Kenny calls it! wrote:

    I love watching people try to trip up our former Mayor Ken Pringle. The man knows what he is doing and is the best thing that ever happened to Belmar. Luckily we still have him willing to fight for what is right here in town. Sign the petition, get Eminent Domain out of the ordinance and tell the administration to stop trying to strong arm us into their unlawful games. Their hands are beyond sticky.

    Wednesday, July 14, 2021 at 7:58 pm | Permalink

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