The Centers for Medicare & Medicaid Services (CMS) recently added an item to the Unified Agenda, which may have an impact on your claims. The Unified Agenda of Federal Regulatory and Deregulatory actions is a semiannual compilation of information about regulations under development by federal agencies published in the spring and fall. The item added […] Continue
Lyrica and its manufacturer Pfizer have been in the news quite frequently this month, and the publicity has not been positive. Most recently, on November 14th, the Supreme Court of the United Kingdom (U.K.) ruled against Pfizer in a patent infringement lawsuit that has spanned the past several years. It’s no secret that pharmaceutical manufacturers […] Continue
The Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act) requires the Centers for Medicare & Medicaid Services (CMS) to publish an annual threshold for recovery in November, each year. This threshold amount reflects an amount for which CMS will not spend more on collections than a claim is likely to yield. In […] Continue
You may recall that several months ago, CMS held an informative webinar regarding the benefits of using the Medicare Secondary Payment Recovery Portal (MSPRP). During this webinar, CMS also announced several future enhancements coming to the MSPRP. One of the upcoming enhancements is the ability to self-report. CMS announced today that effective January 7, 2019, authorized […] Continue
In our last blog about structured settlements we reviewed the basics of what a structured settlement is and why you would want to structure a settlement. However, the benefits of structuring a settlement are best shown through real life examples. Below are three scenarios in which MEDVAL was able to provide creative settlement solutions utilizing […] Continue
An updated Workers’ Compensation Medicare Set-Aside (WCMSA) reference guide has been issued. The revised guide, version 2.8, can be found here. The revised WCMSA reference guide includes the following updates: Fields formerly labeled as “HICN” have been relabeled as “Medicare ID” and can accept either an Health Insurance Claim Number (HICN) or the new Medicare Beneficiary […] Continue
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
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
Last week, the National Alliance of Medicare Set Aside Professionals (NAMSAP), through their Liability Medicare Set Aside (LMSA) Committee issued a special edition bulletin about LMSAs. The bulletin described an April 16, 2018 meeting between NAMSAP members and the Centers for Medicare & Medicaid Services (CMS). The informational bulletin, which is subject to change until […] Continue
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