The Official Medicare Set Aside Blog And Information Resource

Proposed Civil Money Penalties Rule for Medicare Reporting to be Released

Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on February 14, 2020
Posted by Jean S. Goldstein, JD, CMSP

The Medicare Medicaid SCHIP Extension Act of 2007 (MMSEA) imposed Mandatory Insurer Reporting obligations on all Responsible Reporting Entities (RREs) when enacted in 2009.  These mandatory requirements specifically imparted obligations on all RREs and required entities to provide the Centers for Medicare & Medicaid Services (CMS) with data on claims that involve Medicare beneficiaries.  Furthermore, […] Continue

CMS Hosts Townhall Meeting to Address MSP Recovery Topics and Statute of Limitations

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare Set-Aside Blog on January 21, 2020
Posted by Jean S. Goldstein, JD, CMSP

Last week, on January 14th, the Centers for Medicare & Medicaid Services hosted a townhall meeting, complete with a slide presentation to discuss several Medicare Secondary Payer Recovery topics.  During the townhall meeting, CMS discussed the conditional payment recovery process along with providing time at the end of the presentation for questions.  The slides from […] Continue

CMS Will Maintain $750 Recovery Threshold for 2020

Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on November 27, 2019
Posted by Jean S. Goldstein, JD, CMSP

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

CMS Issues Alert With a Reminder for Non-Group Health Plan Responsible Reporting Entities

Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog, MSP News on November 22, 2019
Posted by Jean S. Goldstein, JD, CMSP

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

Update: Proposed Rulemaking Due Dates Pushed Out Again for Civil Money Penalty Provisions for MSP Reporting and for a Rule Addressing Satisfying MSP Obligations

Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog, MSP News on November 20, 2019
Posted by Jean S. Goldstein, JD, CMSP

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