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Breaking: CMS Recovery Practice Ruled Improper under the MSP

In an important new case— CIGA v. Burwell , 2017 WL 58821 (C.D. California, January 5, 2017)—the court ruled that the CMS practice of seeking full reimbursement of a medical provider’s single...

Removing Roadblocks to Settlements: Medicare Part C Claims in the Way of Your Settlement

The last half-dozen years have seen Medicare Secondary Payer (MSP) compliance evolve, with the most recent example being its change in focus from mandatory insurer reporting to rolling recovery. Bu...

Zero Allocations: CMS backs down from drastic changes

As we outlined in a blog post last week , there’s been a lot of buzz surrounding the Centers for Medicare & Medicaid Services’ (CMS) approval of zero allocations. From the moment CMS proposed chang...

CMS News Alert: Zero allocations are far from over

The Centers for Medicare and Medicaid Services (CMS) made news this week by purportedly “correcting” their position on zero allocations. At ISO Claims Partners, we strongly believe that the industr...

CMS Updates Medicare Secondary Payer Recovery Portal

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...

The SPARC Act may have implications for future Medicare Advantage Plan rulings

On September 22, Congressmen Tim Murphy (R-PA) and Ron Kind (D-WI) introduced legislation designed to clarify the Medicare Secondary Payer (MSP) standing on Medicare Part D plans. Text of the new...

Unique Solutions to 2016 Industry Challenges

Insurers are facing tough challenges in 2016 and ISO Claims Partners is working with you to meet these challenges in unique ways. As the industry confronts greater pressures to reduce expenses and...

Conditional Payments Update: Thousands of letters and notices issued

In a brief alert issued on February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced that since the October transition of conditional payment recovery from the Benefits...

Medicare Secondary Payer Implication Indicated in Proposed 2017 Budget

While most eyes were on the New Hampshire primary, President Obama unveiled his eighth and final White House budget on Tuesday, February 9, 2016. The President’s fiscal year (FY) 2017 budget, which...

Liability or Workers' Comp? Federal Employment Acts and the MSP

When it comes to Medicare Secondary Payer (MSP) compliance, we usually make a distinction between workers' compensation and liability insurance claims. Different elements of MSP compliance come int...