The Official Medicare Set Aside Blog And Information Resource

Conditional Payments: When Does the Time Clock Run Out?

Conditional Payments, Medicare Advantage, MSP Litigation on October 1, 2018
Posted by Jean S. Goldstein, JD

Last week, in MSPA Claims 1 v. Kingsway Amigo Ins. Co.,  the 11th Circuit addressed the appropriate application of the statute of limitations under the Medicare Secondary Payer Act (MSPA).  At issue in the matter, was whether the Plaintiff, an assignee of a Medicare Advantage Organization (MAO), timely pursued a claim against the Defendant, a primary […] Continue

Medicare Secondary Payer Recovery Portal (MSPRP) Overview Webinar Slides Now Available

CMS, Conditional Payments, MSP News on August 23, 2018
Posted by Jean S. Goldstein, JD

Last week, we posted about CMS’ overview webinar regarding the benefits of using the Medicare Secondary Payer Recovery Portal (MSPRP), a web-based application for managing Medicare recovery cases (or conditional payments).  The webinar slides from the webinar are now available for download here. If you have additional questions concerning the current functionality of the MSPRP, […] Continue

CMS Provides High Level Overview of MSPRP and Insight into Future Enhancements

CMS, Conditional Payments, MSP News on August 17, 2018
Posted by Jean S. Goldstein, JD

Yesterday, the Centers for Medicare & Medicaid Services (CMS), held an informative webinar to address the benefits of using the Medicare Secondary Payer Recovery Portal (MSPRP), a web-based application for managing Medicare recovery cases (or conditional payments).  The webinar was an overview explaining the various benefits of using the MSPRP, how to get started using […] Continue

Shark Week May be Over; but the Conditional Payment Recovery Process Continues to Terrorize

Conditional Payments, Medicare, MSP News on August 9, 2018
Posted by Jean S. Goldstein, JD

Shark Week is a magical week; providing some of the most enthralling and illuminating insight into jaw-dropping actions of magnificent beings.  As with previous years, Shark Week 2018 did not disappoint.  Many of us can recall learning in basic grade school science that sharks are a necessary evil to keep the ecosystem in a proper […] Continue

Medicare Secondary Payer Portal (MSPRP) Overview Webinar Scheduled for August 16, 2018

CMS, Conditional Payments, MSP News on July 31, 2018
Posted by Jean S. Goldstein, JD

You may recall we recently advised that CMS released an updated Medicare Secondary Payer Recovery Portal (MSRP) user guide, with the intention of creating more efficient practices.  CMS will be hosting a webinar to present the benefits of using the MSPRP, as well presenting the newly available features.  The webinar will be held on August […] Continue

CMS Releases Updated Medicare Secondary Payer Recovery Portal User Guide Noting Enhancements to the Portal

CMS, Conditional Payments, MSP News on July 10, 2018
Posted by Jean S. Goldstein, JD

CMS recently released an updated Medicare Secondary Payer Recovery Portal (MSRP) user guide in the hopes to lead to some more efficient practices.  A summary of the updates is as follows:   To reduce the number of calls received by the BCRC regarding the status of case correspondence, a new read-only Letter Activity tab has […] Continue

U.S. Attorney’s Office Settles Conditional Payments Debts with Personal Injury Law Firm and Requires Attorney to Institute Best Internal Compliance Practices

Conditional Payments, Medicare, MSP News on June 20, 2018
Posted by Jean S. Goldstein, JD

On Monday, the U.S. Department of Justice’s Attorney’s Office for the Eastern District of Pennsylvania issued a press release concerning a settlement arrangement involving the repayment of conditional payments.  U.S. Attorney William M. McSwain announced that the Philadelphia personal injury law firm, Rosenbaum & Associates, and its principal, Jeffrey Rosenbaum entered into a settlement agreement […] Continue

CMS Increased Conditional Payment Demand by $142k: New York Supreme Court Vacates Settlement Agreement

CMS, Conditional Payments, Medicare Set-Aside Blog, MSP Litigation on March 26, 2018
Posted by Jean S. Goldstein, JD

An interesting case came out of the Supreme Court of New York City on Friday, challenging whether a settlement agreement may be declared null and void based upon an erroneous assumption of the total sum of conditional payments made by Medicare.  Mayo v. NYU Langone Med. Ctr., 2018 NY Slip Op 30456(U) (Sup. Ct.). The parties litigated […] Continue

New CRC Contractor: What Are Our First Impressions?

Conditional Payments, CRC, Medicare Set-Aside Blog, MSP News, WCRC on March 20, 2018
Posted by Jean S. Goldstein, JD

It’s been over a month since the anticipated transition of the Commercial Repayment Center (CRC) contractor from CGI Federal to Performant Recovery.  Our first impressions have all been positive.  As with all transitions to new government contractors, we of course had some reservations and concerns, but to date are encountering only positive experiences. Some quick […] Continue