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Medicare Secondary Payer (MSP)

Per Loov 1347213 Unsplash
June 21, 2016

New front in Medicare Advantage battle: Law firm targeted

We continue to watch closely the expansion of Medicare Secondary Payer (MSP) recovery concepts to cases involving Medicare Advantage Plans (MAPs).

Kelly Sikkema 1055176 Unsplash
June 6, 2016

Settlement language strikes again, new case proves clear provisions are critical

Settlement language is an important aspect of Medicare Secondary Payer (MSP) claims that demands careful consideration.

May 27, 2016

Never-ending ORM and what CMS should do about it

The past year has seen tremendous change in Medicare Secondary Payer (MSP) compliance. The Centers for Medicare and Medicaid Services (CMS) introduced rolling recovery to…

Zhen Hu 340739 Unsplash
May 9, 2016

Untangling the confusion of Accident & Health policies

Medicare compliance often requires that different policy types be grouped together into one set of claims. It’s the practice of the Centers for Medicare & Medicaid…

Nick Hillier 339049 Unsplash
May 9, 2016

CMS announces Medicare Beneficiary Identifier implementation timeline

In April 2015, Congress required the Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA) to find an alternative to the existing…

Joanna Kosinska 669797 Unsplash
March 6, 2016

Conditional payments update: Thousands of letters and notices issued

In a brief alert issued on February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced that since the October transition of conditional payment…

Ibrahim Rifath 789914 Unsplash
March 6, 2016

Medicare Secondary Payer implication indicated in proposed 2017 budget

The President’s fiscal year (FY) 2017 budget, which starts October 1, 2016, proposes $4.1 trillion in spending. Of this, an estimated $1.0 trillion in mandatory and…

Bannon Morrissy 1437656 Unsplash
February 10, 2016

Liability or workers' comp? Federal Employment Acts and the MSP

When it comes to Medicare Secondary Payer (MSP) compliance, we usually make a distinction between workers' compensation and liability insurance claims. Different elements…

John Schnobrich 520022 Unsplash
December 29, 2015

CMS releases additional information on the new expedited conditional payment process

On December 21, 2015, the Centers for Medicare and Medicaid Services (CMS) released additional information regarding its continued implementation of the new expedited…

Arnaud Jaegers 253360 Unsplash
November 19, 2015

CMS to finalize new expedited conditional payment process

The Centers for Medicare and Medicaid Services (CMS) has announced plans to modify its Medicare Secondary Payer Recovery Portal (MSPRP) to include final conditional…

Andrew Gook Vrlhw Rbjiw Unsplash
November 16, 2015

Eye on the courts: Florida’s collateral source rule does not apply to future Medicare payments

In Joerg v. State Farm Mutual Automobile Insurance Co., 2015 WL 5995754 (October 15, 2015), the Florida Supreme Court ruled that a plaintiff’s eligibility for future…

Belinda Fewings 771623 Unsplash
June 22, 2015

ISO Claims Partners welcomes Angela Wolfe

ISO Claims Partners is pleased to announce the addition of Angela Wolfe, ARNP, MS, JD, MSCC, CLCP, to our team of Medicare Secondary Payer (MSP) compliance experts.

Trent Erwin Uga3xvi3ska Unsplash
June 22, 2015

Medicare conditional payment compliance: Myth vs. fact

The statutes and regulations that govern Medicare have been referred to by courts as “the most completely impenetrable texts within human experience.” With the complex…

Section 111 Query Process Sm
June 22, 2015

Using the Section 111 query process to your benefit

Responsible reporting entities (RREs) are required first to identify Medicare beneficiaries and then report certain data to Medicare in the form and manner specified by…

May 19, 2015

A recipe for confusion: Medicare conditional payment compliance in asbestos-related workers' compensation claims

Medicare conditional payment compliance is difficult enough. When you add complex asbestos-related workers' compensation claims to the mix, it can create a recipe for…

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