Medicare Secondary Payer (MSP)
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.
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.
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.
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…
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.
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…
Conditional payment disputes mired in Medicare appeals backlog
Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging.
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).
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.
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.
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.
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.
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.
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.
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.