Skip to Main Content
VISUALIZE | INSIGHTS THAT POWER INNOVATION

Centers for Medicare & Medicaid Services (CMS)

Beatriz Perez Moya Xn4t2pvuugk Unsplash 1
June 17, 2019

Big reforms are coming to Michigan PIP - How the changes will impact Medicare Secondary Payer compliance

On 5/30/19, Governor Gretchen Whitmer signed Michigan Senate Bill 1, which makes significant changes to Michigan’s personal injury protection (PIP) system.

List
May 16, 2019

Reality check: Debunking the myths of Medicare Secondary Payer compliance

MSP is a challenging area of compliance for which federal law, regulations, and policy don’t always provide clear answers. It’s vital to understand fact vs fiction.

Helloquence Oqmzwnd3thu Unsplash
June 29, 2018

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)…

Linkedin 698x400 V5 Itr Copy
February 28, 2018

Medicare watch list: Staying ahead of the Medicare Secondary Payer compliance curve

As another new year settles in, we know at least one thing is certain: MSP compliance will continue to present formidable challenges for claims payers.

Bid
December 15, 2017

GAO denies WCRC bid protests

In response to CMS awarding the WCRC bid to Capitol Bridge, LLC, KEN Consulting Inc. and Arch System, LLC filed formal bid protests with the Government Accountability…

Bill Oxford R2esy7rxb4m Unsplash
December 1, 2017

Court declines to rule on whether LMSA is necessary - Cites no legal authority for MSAs in liability cases

Whether liability Medicare set-asides (LMSAs) are legally “required” continues to be a vexing question for parties settling liability claims.

Adam Niescioruk Ty1li9vyjc8 Unsplash 1
November 27, 2017

Medicare Part D - The next recovery frontier?

Spurred by a number of favorable court decisions allowing MAPs to sue for “double damages” under the MSP statute, Medicare Part D plans are now beginning to step into the…

Lucas Vasques 9vnacvx2748 Unsplash
November 20, 2017

The CMS WCMSA "Amended Review process" - New opportunity to reduce WCMSA allocations and settle claims

For years, the Centers for Medicare and Medicaid Services (CMS) has refused to consider medical evidence postdating the original submission date of a Workers’…

Simone Van Der Koelen 611419 Unsplash 1
July 17, 2017

Opana ER will be removed from the marketplace

Opana ER will be voluntarily removed from the marketplace, per the announcement last week of manufacturer Endo International plc.

Anastasiia Ostapovych 1627028 Unsplash
June 26, 2017

FDA request to remove Opana ER may be good news for WCMSAs

The fight against opioids continues, as the U.S. Food and Drug Administration recently announced they want painkiller Opana ER off the market. If removed, learn how it…

Absolutvision 1243127 Unsplash
April 13, 2017

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.

0msa
April 4, 2017

Break the logjam of zero MSAs in development

Zero WCMSA submissions are getting mired in a cycle of CMS development letters & submissions as the WCRC gets more meticulous about submitted pay histories.

Freestocks Org 126848 Unsplash
March 23, 2017

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.

Joshua Sortino 215039 Unsplash
February 17, 2017

Shawn Deane will lead industry initiatives as president of NAMSAP

Shawn Deane, vice president of Medicare / Medicaid compliance and policy, has been elected president of the National Alliance for Medicare Set-Aside Professionals.

Melissa Walker Horn 1081246 Unsplash
January 10, 2017

Breaking: CMS recovery practice ruled improper under the MSP

In CIGA v. Burwell, the court ruled the CMS practice of seeking full reimbursement of a medical provider's single charge was improper under the MSP statute.

You will soon be redirected to the 3E website. If the page has not redirected, please visit the 3E site here. Please visit our newsroom to learn more about this agreement: Verisk Announces Sale of 3E Business to New Mountain Capital.