The Official Medicare Set Aside Blog And Information Resource

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

CMS Releases Updated Section 111 NGHP User Guide; Still No Word On Civil Money Penalties

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on October 16, 2019
Posted by Jean S. Goldstein, JD, CMSP

Many of us in the industry continue to wait with bated breath for information related to a proposed rule for Civil Money Penalties for Medicare Secondary Payer (MSP) Reporting.  You may recall our recent blog postings announcing an advanced notice of a proposed rule involving MSP reporting, and a subsequent update to the notice, which […] Continue

CMS Updates Unified Agenda Regarding Date for Civil Money Penalty Provisions for MSP Reporting Requirements

CMS, Mandatory Insurer Reporting, MSP News on August 12, 2019
Posted by Jean S. Goldstein, JD, CMSP

Last week, we provided an update that the Centers for Medicare and Medicaid Services (CMS) updated the Unified Agenda as related to the proposed rulemaking for guidance regarding how to satisfying Medicare Secondary Payer (MSP) obligations. The Unified Agenda was also recently updated with respect to the proposed rule regarding civil money penalties for MSP […] Continue