The Official Medicare Set Aside Blog And Information Resource

How Will Mandatory Reporting Be Affected by CMS’ Announcements Regarding Thresholds?

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on December 13, 2016 | Posted by Jean S. Goldstein, JD

CMS recently announced a change in the reporting thresholds to $750 for liability settlements, and advised that it would maintain the $750 threshold for no-fault and workers’ compensation settlements, where the insurer or entity does not otherwise have ongoing responsibility for medicals (ORM).  Just yesterday, CMS issued a technical alert regarding the change in reporting […] Continue

Personal Injury Attorney Suspended for Poor Handling of Medicare Conditional Payment Reimbursement

Conditional Payments, Medicare, Medicare Set-Aside Blog, MSP Litigation on December 7, 2015 | Posted by Jennifer Jordan, JD, MSCC

Anyone can resolve a Medicare reimbursement. You don’t need to be a lawyer or MSP specialist. But the reason companies like ours exist is because CMS doesn’t make it easy. If you do not know how to navigate the process, it could take a long time. You may contact the wrong contractor and not receive […] Continue

Upcoming Enhancement to the Functionality of the Medicare Secondary Payer Recovery Portal

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on November 13, 2015 | Posted by Erin O'Neill, PA-C, JD

The Centers for Medicare and Medicaid Services (CMS) has announced that the Medicare Secondary Payer Recovery Portal (MSPRP) will be updated to include functionality for obtaining a final conditional payment amount on those cases that are 120 days or less from an anticipated settlement. As part of the Strengthening Medicare and Repaying Taxpayers Act of […] Continue

CMS Releases FAQ Document Regarding the Commercial Repayment Center Non-Group Health Plan Recovery Workload Transition

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on October 27, 2015 | Posted by Erin O'Neill, PA-C, JD

On October 26, 2015, the Centers for Medicare and Medicaid Services (CMS) released a Frequently Asked Questions (FAQ) Document in order to provide information regarding the transition of a portion of the Non-Group Health Plant (NGHP)Medicare Secondary Payer (MSP) recovery workload from the Benefits Coordination & Recovery Center (BCRC) to the Commercial Repayment Center (CRC). […] Continue

CMS’ Second Webinar Regarding Changes to the Non-Group Health Plan Recovery Workload

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare Set-Aside Blog on September 23, 2015 | Posted by Erin O'Neill, PA-C, JD

On September 17, 2015, CMS held a second webinar outlining the changes in workload processes and procedures in preparation for certain Non-Group Health Plan (NGHP) recovery activity to transition from the Benefits Coordination & Recovery Center (BCRC) to the Commercial Repayment Center (CRC). The material presented was virtually identical to the prior webinar held on […] Continue

Implementation of the Multi-factor Authentication on the Medicare Secondary Payer Recovery Portal

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on September 10, 2015 | Posted by Erin O'Neill, PA-C, JD

The Centers for Medicare & Medicaid Services (CMS) has implemented the optional Remote Identity Proofing (RIDP)/Multi-factor Authentication (MFA) services on the Medicare Secondary Payer Recovery Portal (MSPRP). These services are part of a new identity management solution provided by CMS as part of the Strengthening Medicare and Repaying Taxpayers (SMART) Act. Today, CMS posted a […] Continue

CMS Webinar Regarding Changes to the Non-Group Health Plan ORM Recovery Process and Workload Scheduled for September 17, 2015 at 2:00pm EST

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on September 3, 2015 | Posted by Erin O'Neill, PA-C, JD

As indicated during the prior CMS webinar presented on August 25, 2015, CMS will be providing another webinar regarding the upcoming changes to the Non-Group Health Plan (NGHP) Recovery Process and Workload on September 17, 2015 at 2:00 EST. As noted in prior posts, effective October 2015, the Commercial Repayment Center (CRC) will assume the […] Continue

CMS: Medicare Residual Payments for WCMSA Depletion & ORM Termination

CMS, Conditional Payments, Medicare Set-Aside Blog, Medicare Set-Asides on August 13, 2015 | Posted by Erin O'Neill, PA-C, JD

On August 6, 2015, the Centers for Medicare and Medicaid Services (CMS) issued instructions for the Shared Systems and Medicare Administrative Contractors (MACs) to follow when a Medicare Residual Payment must be paid on Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) or for Ongoing Responsibility of Medicals (ORM) Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) […] Continue

CMS Webinar Regarding Changes to the Non-Group Health Plan Recovery Process and Workload Scheduled for August 25, 2015

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on August 4, 2015 | Posted by Erin O'Neill, PA-C, JD

CMS has announced that a webinar regarding the upcoming changes to the Non-Group Health Plan (NGHP) Recovery Process and Workload will be presented on August 25, 2015 at 2:00 pm EST. As noted in prior posts, effective October 2015, the Commercial Repayment Center (CRC) will assume the responsibility for conditional payment recovery activities in all […] Continue