The Official Medicare Set Aside Blog And Information Resource

Update: Proposed Rulemaking to Clarify Existing MSP Obligations

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, MSAs, MSP News on July 1, 2020
Posted by Jean S. Goldstein, JD, CMSP

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

CMS Issues New Section 111 Alert

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on June 11, 2020
Posted by Jean S. Goldstein, JD, CMSP

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

The Effectiveness of Ketamine Infusion for Chronic Pain

Medicare Set-Aside Blog, Medicare Set-Asides, Rx/Pharmacy on June 8, 2020
Posted by Leah King, PharmD, JD, Independent Pharmacy Consultant

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

Addition of New View and Print Functionality in Medicare Secondary Payer Recovery Portal (MSPRP)

CMS, Medicare Secondary Payer Recovery Portal, Medicare Set-Aside Blog on June 2, 2020
Posted by Jean S. Goldstein, JD, CMSP

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