Kate Riordan, J.D.

Kate Riordan is vice president of Analytics Initiatives and Compliance at Verisk, with deep expertise in Medicare Secondary Payer (MSP) compliance and insurance analytics. She began her career at Verisk as a Medicare Set‑Aside (MSA) compliance attorney, completing and securing CMS approval for hundreds of MSAs and developing fluency across Section 111 reporting, conditional payment recovery, Medicare Advantage, Part D, and Medicaid recovery. Kate later led the creation and go‑to‑market strategy for Discovery Navigator, an AI‑powered solution for extracting critical data from large unstructured documents. She is a frequent national presenter, trainer, and author on MSP and compliance topics. Kate serves as President of the National MSP Network and is an Executive Committee member of the Medicare Advocacy Recovery Coalition (MARC). You can contact Kate at Kate.Riordan@verisk.com.

8/14/2018 - 1 min read

Workers’ compensation medicare set-aside companion bill filed in House of Representatives

On July 26, 2018, H.R. 6619- Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of 2018 in the U.S. House of Representatives were introduced.

8/14/2018 - 6 min read

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 professionals. But recent trends indicate a positive change for the industry.

Glenn Carstens Peters Npxxwgq33zq Unsplash

7/12/2018 - 2 min read

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 changes are minor and primarily aimed at streamlining the communication process when requesting conditional payment information.

6/29/2018 - 2 min read

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) Workers’ Compensation Medicare Set-Aside (WCMSA) process.

2/12/2018 - 2 min read

Budget Act of 2018 limits Medicaid third-party recovery rights

While most of the headlines focused on the deal’s impact on military expenditures and other issues, the new law also contained an update regarding MSP compliance.

1/29/2018 - 7 min read

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 months, however, a number of state Medicaid agencies have more vigorously asserted their recovery rights.

9/26/2017 - 4 min read

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.

8/1/2017 - 2 min read

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.

4/13/2017 - 3 min read

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.

3/23/2017 - 2 min read

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.

1/18/2017 - 5 min read

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.

9/29/2016 - 3 min read

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).

8/18/2016 - 4 min read

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.

8/17/2016 - 4 min read

The impact of Medicare Advantage Plans on your claims: The risk of double damages and summary judgment

The decision will have a significant impact on liability, workers compensation, and no-fault claims being handled.

5/9/2016 - 3 min read

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 non-group health plans (NGHP) into either workers' compensation, liability, or no-fault.

Displaying 31-45 of 51