Kate Riordan
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,…
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).
Workers’ compensation medicare set-aside companion bill filed in House of Representatives
On July 26, 2018, Representative David Reichert (R-WA) and Representative Mike Thompson (D-CA) introduced H.R. 6619- Medicare Secondary Payer and Workers’ Compensation…
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…
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…
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)…
Budget Act of 2018 limits Medicaid third-party recovery rights
President Trump signed a budget deal early February 9th following a brief government shutdown. While most of the headlines focused on the deal’s impact on military…
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…
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.
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.
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.
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.
Important SSNRI news at CMS forum
To comply with the Medicare Access and CHIP Reauthorization Act of 2015, CMS announced the Social Security Number Removal Initiative on Tuesday, January 17.
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).
MSP statute extends its reach in the 11th Circuit: Foreshadowing for liability MSAs?
Undoubtedly, the 11th Circuit Court decision in Humana has obvious financial consequences to insurers.