An updated MMSEA Section 111 NGHP User Guide version 5.9 has been posted to the NGHP User Guide page on CMS.gov with minor updates. Each chapter section has a summary of updates. For convenience the updates are listed below: Updates to the Policy Guidance Chapter Version 5.9 of the NGHP User Guide • A reminder […] Continue
We continue to monitor guidance from the Centers for Medicare & Medicaid Service (CMS) regarding Medicare Secondary Payer (MSP) compliance as related to workers’ compensation, liability, and no-fault insurance claims. As we often discuss here on our blog, CMS continues to place emphasis on satisfying MSP obligations. You may recall that in December 2018, CMS […] Continue
Today, the Centers for Medicare & Medicaid Services (CMS) issued an alert which serves as a reminder that Non-Group Health Plan Responsible Reporting Entities (RREs) must include both Med Pay and PIP coverage limits for a policy when the coverages are being paid out on claims for the same injured party and incident under a […] Continue
Patients with chronic pain often present a challenging treatment scenario for health care practitioners. This has historically been the case, and the opioid crisis has served to create additional challenges by discouraging the use of opioids which have traditionally been the mainstays of pain therapy. Because of the opioid epidemic, treatment guidelines have emerged which […] Continue
Today, the Centers for Medicare & Medicaid Services (CMS) issued an alert that on July 13, 2020, the Medicare Secondary Payer Recovery Portal (MSPRP) is scheduled to be enhanced to allow authorized users to view and print correspondence via new functionality. MSPRP users who log in using Multi-Factor Authentication will be able to view and […] Continue