2017 Medicare Watch List

As the first quarter of 2017 comes to an end, it’s clear there will be no shortage of Medicare Secondary Payer (MSP) developments to keep an eye on this year. Here’s an outline of a few MSP events to watch in 2017: WCRC bid: Last year, the Centers for Medicare & Medicaid Services (CMS) opened […]

Clues to CMS future gleaned from WCRC solicitation notice

The Centers for Medicare & Medicaid Services (CMS) moved forward with requests for proposal regarding the Workers’ Compensation Review Contractor (WCRC) contract by releasing a full solicitation notice before the holidays. Because the request is for a five-year contract, the solicitation information can provide clues to CMS’s long-term strategy regarding Medicare Set-Asides (MSAs). Insights into […]

Important SSNRI News at CMS Forum

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security numbers (SSNs) from Medicare cards before the end of the decade. To comply with MACRA, CMS created the Social Security Number Removal Initiative (SSNRI). On Tuesday, January 17, CMS held an Open […]

CMS Updates Medicare Secondary Payer Recovery Portal

Sean Deane

On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide. As many of our readers know, one of the key issues stemming from the transition of a portion of Medicare claims to the Commercial Repayment Center (CRC) has […]

New WCRC contract bid could indicate expansion of MSAs beyond workers’ compensation

On September 6, the Centers for Medicare and Medicaid Services (CMS) updated a previously released pre solicitation notice regarding a new contract for the Workers’ Compensation Review Contractor (WCRC). The WCRC reviews and approves Medicare Set-Asides (MSAs) in conjunction with workers’ compensation settlements. In a prior notice, CMS announced that the new contractor should prepare […]

Medicare Advantage Plans Allowed to Sue No-Fault Carriers for Private Cause of Action

New Ruling Likely to Lead to More MAP Lien Claims against PIP Insurers Following on the heels of its recent Humana v. Western Heritage decision, the United States 11th Circuit Court of Appeals1 has just released another important Medicare Advantage ruling in MSP Recovery, LLC v. Allstate Insurance Company, 2016 WL 4525222 (11th Cir., August […]