Medicare Secondary Payer (MSP)
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).
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.
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…
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…
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…
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…
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…
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…
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…
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…
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…
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.
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…
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…
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…