Mark Popolizio, J.D.
CMS holds webinar to address plans to add electronic payment functionality to its Medicare Secondary Payer Recovery Portal
On 3/13/19, CMS held a webinar to discuss its plans to add electronic payment functionality to its Medicare Secondary Payer Recovery Portal.
Electronic payment functionality to be added to the Medicare Secondary Payer Recovery Portal – CMS to hold webinar on March 13, 2019
CMS announced effective April 1, 2019, electronic payment functionality will be added to the Medicare Secondary Payer Recovery Portal.
CMS to mask health insurance claim number and social security number on contractor correspondence starting April 2019
Starting 4/1/19, CMS’s Coordination of Benefits and Recovery Program program will mask the social security number (SSN) and SSN-portion of the health insurance claim…
Top 10 Medicare Secondary Payer trends in 2019
MSP compliance is rapidly evolving – policy changes, stricter regulations, new legislation, and emerging case law are making compliance more complex and challenging than…
CMS releases new NGHP Section 111 user guide
CMS has updated its Non-Group Health Plan Section 111 User Guide. The new guide is styled as Version 5.5 and is dated January 7, 2019.
Proposed rules for addressing future medical obligations to be released
The Office of Information and Regulatory Affairs (OIRA) recently issued a notice entitled Miscellaneous Medicare Secondary Payer Clarifications and Updates (CMS-6047-P).…
CMS retains $750 “Low Dollar” threshold for 2019
The Centers for Medicare and Medicaid Services (CMS) has released its low dollar recovery threshold for 2019 via an alert dated November 15, 2018. CMS is generally…
CMS updates its Medicare prescription drug benefit manual – New changes encourage Part D collection and recovery
The Centers for Medicare and Medicaid Services (CMS) has amended its Medicare Prescription Drug Benefit Manual (Part D Manual) to add, in part, stronger language…
Law firm reaches settlement with U.S. Department of Justice to reimburse Medicare conditional payments and start internal MSP compliance program
The United States Department of Justice (DOJ) for the Eastern District of Pennsylvania has issued a news release reporting that a Philadelphia personal injury law firm…
Court denies “double damages” under the MSP’s private cause of action
Currently, there are two questions being litigated that involve who can sue under the Medicare Secondary Payer’s (MSP) private cause of action (PCA) provision and when…
Arizona tweaks its "full & final" workers' comp settlement law - New law provides opportunities to settle workers' comp claims
Arizona Senate Bill 1100 provides unprecedented opportunities to settle workers' compensation claims in the state.
The CMS Medicare Identifier Initiative and Its Medicare Secondary Payer Impact
In April 2018, the CMS began replacing all Medicare cards with a new, unique 11-byte Medicare Beneficiary Identifier (MBI) number.
CMS’ Medicare Beneficiary Identifier initiative and its Medicare Secondary Payer impact
Starting in April, CMS will begin replacing all Medicare cards with a new unique 11-byte Medicare Beneficiary Identifier (MBI) number.
Texas court: Medicare Advantage Plans can sue for private cause of action under the Medicare Secondary Payer statute
This ruling by the federal district court for the Southern District of Texas places it in line with a growing number of decisions from other jurisdictions finding that…
Medicare Advantage update: Connecticut court rules MAPs can pursue “double damages” under the Medicare Secondary Payer statute
Connecticut is the latest jurisdiction to address whether MAPs have private cause of action (PCA) rights to pursue “double damages” under the MSP statute.