24828d2e_Compliance_Audits__Answer
[Reference Number] 2 [Topic] Direct vs.Non-Direct [Question] Please explain direct versus non-direct?Is this the same as primary versus secondary? [Answer] 
These are two entirely different sets of terms. The difference between direct and non-direct payors depends on the electing status of the payor.If a payor has elected to pay the HCRA surcharge to the Public Goods Pool directly, then they are considered a direct payor. If they have not elected, they are considered a non-direct payor, and the hospital is responsible for remitting the enhanced surcharge to the Public Goods Pool. Primary and secondary relates to the order in which the insurers are responsible for payment.
Compliance Audits