Kate Riordan

7/8/2019 - 8 min read

Medicaid expansion makes recovery efforts more urgent

Within broad federal requirements, states and territories have significant flexibility in program design and administration, resulting in 56 unique Medicaid programs.

3/8/2019 - 2 min read

PAID Act Reintroduced in 116th Congress

On 2/26/19, Congressmen Ron Kind (D-WI) and Guy Bilirakis (R-FL) reintroduced the PAID Act as H.R. 1375 into the U.S. House of Representatives.

1/2/2019 - 1 min read

Government shutdown – MSP update

As the partial government shutdown continues, questions are being raised as to the shutdown’s impact on CMS activities concerning Medicare Secondary Payer compliance.

12/20/2018 - 3 min read

MSPRP update: CMS announces a new self-reporting option and updates to the multi-factor authentication process

The Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on enhancements to its Medicare Secondary Payer Recovery Portal (MSPRP) on December 18, 2018.

8/17/2018 - 1 min read

CMS hosts Medicare Secondary Payer Recovery Portal (MSPRP) Webinar

On August 16, 2018, the Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on its Medicare Secondary Payer Recovery Portal (MSPRP).

8/14/2018 - 1 min read

Workers’ compensation medicare set-aside companion bill filed in House of Representatives

On July 26, 2018, H.R. 6619- Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of 2018 in the U.S. House of Representatives were introduced.

8/14/2018 - 6 min read

Drug formularies continue to expand in workers’ comp systems

Balancing rising medical and pharmaceutical costs with appropriate and timely treatment for injured workers has been an ongoing struggle for workers’ compensation professionals. But recent trends indicate a positive change for the industry.

Glenn Carstens Peters Npxxwgq33zq Unsplash

7/12/2018 - 2 min read

Minor changes in newly released Medicare Secondary Payer Recovery Portal User Guide

The Centers for Medicare and Medicaid Services (CMS) has released an updated version of its Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 4.2). The changes are minor and primarily aimed at streamlining the communication process when requesting conditional payment information.

6/29/2018 - 2 min read

Workers’ Compensation Medicare Set Aside Legislation Filed, Referred to Committee

On June 18, 2018, Senators Rob Portman (R-OH) and Bill Nelson (D-FL) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS) Workers’ Compensation Medicare Set-Aside (WCMSA) process.

2/12/2018 - 2 min read

Budget Act of 2018 limits Medicaid third-party recovery rights

While most of the headlines focused on the deal’s impact on military expenditures and other issues, the new law also contained an update regarding MSP compliance.

1/29/2018 - 7 min read

Now hear this: Medicaid Secondary Payer recovery on the rise

Historically, state Medicaid agencies have been rather flat-footed in making efforts to identify and recoup erroneous payments from non-group health entities. In recent months, however, a number of state Medicaid agencies have more vigorously asserted their recovery rights.

9/26/2017 - 4 min read

Expansion of Medicaid Secondary Payer poses new compliance challenges

After numerous delays, it appears inevitable that the expansion of Medicaid Secondary Payer rights will begin on October 1, 2017.

8/1/2017 - 2 min read

Amended review and other takeaways from the latest WCMSA reference guide

On July 31st 2017, CMS released its most recent version of the Workers’ Compensation Medicare Set-Aside Reference Guide—and there’s a lot to digest.

4/13/2017 - 3 min read

Arkansas passes bill affecting future medical benefit settlements for Medicare beneficiaries

The Arkansas Legislature quickly moved a relatively unknown bill addressing workers’ comp settlements in the final days of its 2017 legislative session.

3/23/2017 - 2 min read

SPARC Act reintroduced in Congress

The SPARC Act seeks to ensure that Medicare Part D is adequately reimbursed when another entity is determined to be the primary payer.

Kate Riordan, J.D.

Medicaid expansion makes recovery efforts more urgent

PAID Act Reintroduced in 116th Congress

Government shutdown – MSP update

MSPRP update: CMS announces a new self-reporting option and updates to the multi-factor authentication process

CMS hosts Medicare Secondary Payer Recovery Portal (MSPRP) Webinar

Workers’ compensation medicare set-aside companion bill filed in House of Representatives

Drug formularies continue to expand in workers’ comp systems

Minor changes in newly released Medicare Secondary Payer Recovery Portal User Guide

Workers’ Compensation Medicare Set Aside Legislation Filed, Referred to Committee

Budget Act of 2018 limits Medicaid third-party recovery rights

Now hear this: Medicaid Secondary Payer recovery on the rise

Expansion of Medicaid Secondary Payer poses new compliance challenges

Amended review and other takeaways from the latest WCMSA reference guide

Arkansas passes bill affecting future medical benefit settlements for Medicare beneficiaries

SPARC Act reintroduced in Congress