Shawn Deane, vice president of Medicare / Medicaid compliance and policy, has been elected president of the National Alliance for Medicare Set-Aside Professionals.
To comply with the Medicare Access and CHIP Reauthorization Act of 2015, CMS announced the Social Security Number Removal Initiative on Tuesday, January 17.
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.
The last half-dozen years have seen Medicare Secondary Payer (MSP) compliance evolve, with the most recent example being its change in focus from mandatory insurer…
The Centers for Medicare and Medicaid Services (CMS) will conduct a town hall teleconference November 17, 2016.
On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User…
Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging.
On September 22, Congressmen Tim Murphy (R-PA) and Ron Kind (D-WI) introduced legislation designed to clarify the Medicare Secondary Payer (MSP).
Medicare Set-Asides (MSAs) are primarily a coordination of benefits tool. The failure to obtain & adequately fund an MSA can result in a denial of payment.
New ruling likely to lead to more MAP lien claims against PIP insurers.
Liability claims are particularly at risk, as these emerging compliance issues impose new burdens on the management and settlement of claims.
Undoubtedly, the 11th Circuit Court decision in Humana has obvious financial consequences to insurers.
The decision will have a significant impact on liability, workers compensation, and no-fault claims being handled.
While liability conditional payments can present some unique challenges, there are effective methods to remove the stumbling blocks to claims resolution.
The Eleventh Circuit Court of Appeals expanded the rights of Medicare Advantage Organizations (MAOs) to use federal court to sue primary payers.
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.