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Medicare Secondary Payer (MSP)

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.

Kate Trysh 485779 Unsplash
January 18, 2017

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.

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.

Kelly Sikkema 1484283 Unsplash
November 11, 2016

Removing roadblocks to settlements: Medicare Part C claims in the way of your settlement

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…

November 10, 2016

CMS to hold town hall call on November 17

The Centers for Medicare and Medicaid Services (CMS) will conduct a town hall teleconference November 17, 2016.

Lubomyr Myronyuk 606340 Unsplash
October 19, 2016

CMS updates Medicare Secondary Payer Recovery Portal

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…

Viktor Talashuk 1213728 Unsplash
October 10, 2016

Conditional payment disputes mired in Medicare appeals backlog

Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging.

September 29, 2016

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).

September 16, 2016

Should you purchase MSA liability insurance?

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.

Kelly Sikkema 1484277 Unsplash
September 8, 2016

Medicare Advantage Plans allowed to sue no-fault carriers for private cause of action

New ruling likely to lead to more MAP lien claims against PIP insurers.

Simone Van Der Koelen 611419 Unsplash
August 19, 2016

Preparing for a fundamental compliance shift in liability claims

Liability claims are particularly at risk, as these emerging compliance issues impose new burdens on the management and settlement of claims.

Melissa Walker Horn 1081246 Unsplash
August 18, 2016

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.

Martin Brosy 758535 Unsplash
August 17, 2016

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.

John Schnobrich 520022 Unsplash
August 16, 2016

Removing impediments to settlements: Conditional payments in liability claims

While liability conditional payments can present some unique challenges, there are effective methods to remove the stumbling blocks to claims resolution.

August 12, 2016

Breaking news: 11th Circuit rules Medicare Advantage Plans can sue in federal court

The Eleventh Circuit Court of Appeals expanded the rights of Medicare Advantage Organizations (MAOs) to use federal court to sue primary payers.

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