It is no secret that Medicare secondary payer compliance issues often dominate the claims landscape and discussion.
On 12/11/21, the (PAID Act) went live following a year-long implementation roll-out by the Centers for Medicare and Medicaid Services (CMS).
In a major MSP compliance development, the RAMP Act was introduced into the United States House of Representatives on June 14th.
The Court rejected the plaintiff’s argument that Medicaid’s recovery was limited to only that portion of the settlement representing past medical care.
On June 23rd, CMS held a webinar to discuss its plans to implement the PAID Act for non-group health plan (NGHP) responsible reporting entities (RREs).
There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.
On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into…
It requires CMS to expand its Section 111 Query Process to identify whether a claimant is currently entitled to.
The House of Representatives passed the PAID Act as a stand-alone bill and as part of the BENES Act of 2019. Both bills now move to the Senate for further consideration.
With the current Congressional session ending on 1/3/21, attention is on two pending Medicare Secondary Payer reform efforts: The PAID Act & the COMP Act.
On 8/13, CMS held a webinar on Section 111 non-group health plan reporting. The webinar covered NGHP Section 111 reporting best practices and MSPRP enhancements.
In a new Florida Medicaid decision, the U.S. Circuit Court of Appeals for the Eleventh Circuit, in Gallardo v. Dudek, 2020 ruled Florida Medicaid may seek recovery of…
The U.S. District Court in Ruiz v. Rhode Island was called upon to address whether a personal injury settlement should be enforced even though the defendant was unable to…
With the comment period closed, the focus now turns to when CMS will issue its Final Rule, which will comprise of the agency’s official CMP regulations.