In recent years, a great deal of attention has been paid to the topic of drug prices and more specifically, how to control them. On a personal note, it’s likely that most of us have gone to the pharmacy to pick up a prescription and been surprised by the cost. On a professional note, in […] Continue
The Medicare Secondary Payer (MSP) provisions of the Social Security Act prohibit Medicare from making payment where payment has been made or can reasonably be expected to be made by a primary plan. If payment has not been made, or cannot reasonably be expected to be made promptly by the plan, Medicare may pay for […] Continue
Earlier this month, in a press release, the United States Attorney for the District of Maryland Robert K. Hur announced that a Baltimore-based law firm has paid the United States $91,406.98 to resolve allegations that it failed to reimburse Medicare for conditional payments that had been made to medical providers on behalf of firm clients. […] Continue
While the big news of this week was that the proposed rulemaking due dates for both the rule concerning civil money penalty provisions for Medicare Secondary Payer (MSP) reporting and the rule to address satisfying MSP obligations has been extended once again, CMS also issued an alert this week with an important reminder for Non-Group […] Continue
As we continue to monitor for guidance from CMS regarding Medicare Secondary Payer (MSP) compliance as related to workers’ compensation, liability and no-fault insurance claims, CMS has once again made two significant updates. You may recall in December, 2018, we reported of two advanced notices of proposed rulemaking which were added to the Unified Agenda […] Continue