Medicare Secondary Payer (MSP)
Florida court: No-fault pre-suit notice requirement must be followed before Medicare private cause of action claim can proceed
In a new Florida decision, the U.S. District Court in ruled Florida’s no-fault pre-suit notice requirement must be satisfied before a PCA action can proceed.
With civil money penalties looming, it’s time to fine-tune CMS reporting
Steering clear of CMS penalties is possible by implementing a meticulous query process and being mindful of the regulations surrounding ongoing medicals and total payment…
Longshore Act - Medicare alert: Court rules that claimant’s action for “double damages” was premature
Claims payers pursuant to the Longshore Act need to stay vigilant for potential double damages actions under the MSP statute’s private cause of action provision
Maryland law firm reaches $250,000 settlement with U.S. Department of Justice to reimburse Medicare conditional payments
A Maryland personal injury law firm settled for $250,000 with the U.S. to resolve allegations it failed to reimburse certain Medicare payments made to medical providers…
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…
Government shutdown – MSP update
As the partial government shutdown continues, questions are being raised as to the shutdown’s impact on CMS activities concerning Medicare Secondary Payer compliance.
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).…
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 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…
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).
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…
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…