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
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
It has been nearly one year since the Centers for Medicare & Medicaid Services (CMS) first released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide,[1] which addressed one of the lesser discussed topics in Medicare Secondary Payer (MSP) compliance: professional administration. Specifically, the revised guide included the following statement: “[a]lthough beneficiaries may act as […] Continue
Last week, Congressman Gus Bilirakis and Congressman Ron Kind introduced legislation (H.R. 5881) in the House of Representatives to amend title XVIII of the Social Security Act, specifically in an effort to provide for transparency of Medicare Secondary Payer (MSP) reporting information. Congressman Bilirakis issued a press release yesterday stating that, “[t]his legislation will ensure […] Continue
The Centers for Medicare & Medicaid Services (CMS) recently issued a revised self-administration toolkit, version 1.2. The purpose of the toolkit, just as with the previous version is outlined on page 3 of the 31 page guide, which is to describe the Workers’ Compensation Medicare Set-Aside (WCMSA) self-administration process and provide guidelines for claimants. Specifically, […] Continue
The Centers for Medicare & Medicaid Services (CMS) released an updated version of the Medicare Part D opioid prescribing mapping tool, providing an interactive, web-based resource that presents geographic comparisons- at the state, county, and ZIP code levels – of Medicare Part D opioid prescribing rates. The tool allows users to understand and compare opioid […] Continue
Earlier this week, CMS issued a policy change revising the Medicare Advantage Program (MAP) Part C regulations and Prescription Drug Benefit program (Part D). The ultimate goal of the new policy is to ensure that individual’s treatment needs are met, while improving the quality of care and providing greater choices to MA enrollees. The full […] Continue
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