The Official Medicare Set Aside Blog And Information Resource

FDA Approves Non-Opioid Analgesic for Mild to Moderate Pain

FDA, Medicare Set-Aside Blog, Rx/Pharmacy on August 3, 2020
Posted by Leah King, PharmD, JD, Independent Pharmacy Consultant

On July 16th, the FDA approved Orphengesic Forte, a non-opioid combination analgesic for the treatment of mild to moderate pain associated with acute musculoskeletal conditions. The FDA’s approval came earlier than expected, which many have viewed as a reinforcement of the FDA’s commitment to do everything in its power to combat the opioid epidemic. Orphengesic […] Continue

FDA Issues Draft Guidance on Clinical Research with Cannabis and Cannabis-Derived Compounds

FDA, Medical Cannabis, Medicare Set-Aside Blog on July 28, 2020
Posted by Leah King, PharmD, JD, Independent Pharmacy Consultant

Medical cannabis continues to create a host of questions as related to workers’ compensation claims, including the legality of use, particularly as guidance and policies continue to be issued.  On July 21st, the FDA issued draft guidance for clinical research with cannabis and cannabis-derived compounds. The guidance does not apply to fully synthetic versions of cannabis, which […] Continue

CMS to Hold Section 111 Webinar

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on July 15, 2020
Posted by Jean S. Goldstein, JD, CMSP

The Centers for Medicare & Medicaid Services (CMS) will be hosting a Section 111 Non-Group Health Plan (NGHP) webinar on August 13, 2020 at 1:00 PM EST, and can be accessed here. As with most CMS webinars and presentations, the format will be opening remarks by CMS followed by a presentation that will include NGHP […] Continue

A New User Guide and New Functionality Added

Conditional Payments, Medicare Secondary Payer Recovery Portal, Medicare Set-Aside Blog on July 13, 2020
Posted by Jean S. Goldstein, JD, CMSP

Last month, we blogged about new functionality to the Medicare Secondary Payer Recovery Portal (MSPRP) to allow authorized users to view and print correspondence via the portal, which is now accessible.  This is beneficial when correspondence related to the conditional payment recovery process has not been received.  In addition, today, a new MSPRP User Guide […] Continue

MSP Court Decision Sends Warnings Signals to Primary Payers

Conditional Payments, Medicare Set-Aside Blog, MSP Litigation on July 7, 2020
Posted by Jean S. Goldstein, JD, CMSP

A recent decision out of the United States District Court for the District of New Jersey is sending warning signals and a reminder to implement proactive practices to primary payers. The decision arises from Osterbye v. United States, 2020 U.S. Dist. LEXIS 116591, and came before the court on the Defendant’s Motion to Dismiss Plaintiff’s […] Continue