On August 2, 2019, Representatives Mike Thomson (D-CA) and George Holding (R-NC) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS) Workers’ Compensation Medicare Set-Aside...
Conditional Payments
Proposed Workers’ Compensation Medicare Set Aside Reform Bill Filed in the U.S. House of Representatives
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August 27, 2019
CRC looks to resolve backload of conditional payment leads
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August 22, 2019
On August 9, 2019, the Commercial Repayment Center (CRC) hosted a conference call to discuss the handling of conditional payment letters (CPL) versus conditional payment notices (CPN). On this call, the CRC announced...
Big reforms are coming to Michigan PIP - How the changes will impact Medicare Secondary Payer compliance
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June 17, 2019
On May 30, 2019, Michigan Governor Gretchen Whitmer signed into law Michigan Senate Bill 1 (S.B. 1) [1] which makes significant changes to Michigan’s personal injury protection (PIP) system, including allowing policy...
Maryland Law Firm Reaches $250,000 Settlement with U.S. Department of Justice to Reimburse Medicare Conditional Payments
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March 21, 2019
The United States Department of Justice (DOJ), United States Attorney’s Office for the District of Maryland has issued a news release reporting that a Maryland personal injury law firm has entered into a settlement fo...
CMS Hosts Medicare Secondary Payer Recovery Portal (MSPRP) Webinar
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August 17, 2018
On August 16, 2018, the Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on its Medicare Secondary Payer Recovery Portal (MSPRP). The MSPRP is CMS’ web-based application that enables authoriz...
Minor changes in newly released Medicare Secondary Payer Recovery Portal User Guide
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July 12, 2018
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...
Law Firm Reaches Settlement with U.S. Department of Justice to Reimburse Medicare Conditional Payments and Start Internal MSP Compliance Program
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June 20, 2018
The United States Department of Justice (DOJ) for the Eastern District of Pennsylvania has issued a news release reporting that a Philadelphia personal injury law firm has agreed to pay the government $28,000.00 to...
Eye on the courts: Florida’s collateral source rule does not apply to future Medicare payments
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November 16, 2015
In an interesting new case in Florida, the court was called upon to address whether and how a plaintiff’s Medicare benefits should be considered in terms of evidence presented at trial. In Joerg v. State Farm Mutual...
A Recipe for Confusion: Medicare Conditional Payment Compliance in Asbestos-Related Workers' Compensation Claims
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May 19, 2015
Medicare conditional payment compliance is difficult enough. When you add complex asbestos-related workers' compensation claims to the mix, it can create a recipe for confusion for insurance carriers, self-insureds, a...