No-Fault Claims

CMS Maintains its $750 Low Dollar Threshold for 2018

The Centers for Medicare and Medicaid Services (CMS) has released a new Alert entitled “2018 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance and Workers’ Compensation...

What now for soft tissue injury claims

On 23 February 2017, less than seven weeks after the government consultation aimed at reducing whiplash claims ended , the Ministry of Justice published part 1 of their response to the consultation...

CMS Releases Updated Reporting and Recovery Thresholds with News on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability (including self-insurance),...

New Report Reveals Medicare’s “Low-Dollar” Threshold Calculations

U.S. Secretary of Health and Human Services (HHS) Sylvia Mathews Burwell released a new report to Congress that provides insight into the data the Centers for Medicare and Medicaid Services (CMS)...

The Compliance Gap: How You See Your Compliance vs. How Medicare Sees It

There are two main categories of Medicare compliance: (1) Reporting and (2) Recovery. Although the law and regulations clearly state what must be done in each category and who must comply, the actu...

Never-ending ORM and what CMS should do about it

The past year has seen tremendous change in Medicare Secondary Payer (MSP) compliance. The Centers for Medicare and Medicaid Services (CMS) introduced rolling recovery to both workers' compensation...

Untangling the confusion of Accident & Health policies

Medicare compliance often requires that different policy types be grouped together into one set of claims. It’s the practice of the Centers for Medicare & Medicaid Services (CMS) to pigeonhole...