Settlement

9/26/2017 - 4 min read

Expansion of Medicaid Secondary Payer poses new compliance challenges

After numerous delays, it appears inevitable that the expansion of Medicaid Secondary Payer rights will begin on October 1, 2017.

9/26/2017 - 6 min read

Countdown to “full and final” settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity to close out their workers' comp claims.

8/2/2017 - 9 min read

Making sense of the WCMSA reference guide 2.6

On 7/31, CMS released their new WCMSA Reference Guide. Learn what the changes outlined might mean for submitting WCMSAs to CMS.

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7/11/2017 - 2 min read

A solid second bite: CMS re-review now allows new medical documentation

Yesterday, CMS released a new Workers’ Compensation Medicare Set-Aside Portal User Guide that now allows for re-reviews of WCMSA decisions.

6/16/2017 - 6 min read

Court blocks Medicare discovery requests - Ruling limits insurer's ability to determine MMSEA obligations

A new case out of Connecticut highlights complications insurers can encounter in obtaining information to assess their MSP compliance obligations.

4/26/2017 - 4 min read

Exhaust administrative remedies before challenging Medicare conditional payment claims

When challenging Medicare conditional payment claims, parties must exhaust Medicare administrative appeals before filing an action in federal court.

4/13/2017 - 3 min read

Arkansas passes bill affecting future medical benefit settlements for Medicare beneficiaries

The Arkansas Legislature quickly moved a relatively unknown bill addressing workers’ comp settlements in the final days of its 2017 legislative session.

3/20/2017 - 5 min read

Liability MSAs: What we know and what to expect

The dust is still swirling around the Liability Medicare Set-Aside (LMSA) issue, but a few areas clearly show Medicare’s plan and intended next steps.

12/16/2016 - 2 min read

CMS releases updated reporting and recovery thresholds with news on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability (including self-insurance), workers' compensation, and no-fault settlements, judgments, awards, or other payments (settlements).

11/14/2016 - 4 min read

New report reveals Medicare’s “low-dollar” threshold calculations

Medicare calculated its recently revised “low-dollar” recovery and reporting thresholds for liability, workers compensation and no-fault settlements.

11/11/2016 - 4 min read

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 reporting to rolling recovery.