The Official Medicare Set Aside Blog And Information Resource

Acupuncture for Chronic Low Back Pain – Is Medicare Coverage Reasonable and Necessary?

CMS, Medicare Set-Asides, Opioids on January 24, 2019
Posted by Jennifer J. Mislanovich, JD

On 01/15/19, the Centers for Medicare & Medicaid Services (CMS) opened a National Coverage Analysis (NCA) to complete a thorough review of the evidence to determine if acupuncture for chronic low back pain is reasonable and necessary under the Medicare program. The public comment period is open until 02/14/19, a proposed decision memo due date […] Continue

CMS’ Updated WCMSA Reference Guide Emphasizes Importance of Satisfying MSP Obligations

CMS, Medicare Set-Asides, MSP News on January 9, 2019
Posted by Jean S. Goldstein, JD

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) issued a revised Workers’ Compensation Medicare Set-Aside (WCMSA) reference guide, which we first alerted our readers to here on our blog.  Some of the changes found within the update guide addressed a few of the recent alarming CMS approval trends we have been tracking.  […] Continue

Updated MSPRP User Guide and MMSEA Section 111 NGHP User Guide Issued

CMS, Medicare Secondary Payer Recovery Portal, MSP News on January 8, 2019
Posted by Jean S. Goldstein, JD

It has certainly been a busy week for Medicare Secondary Payer news.  Aside from a updated Worker’s Compensation Medicare Set-Aside reference guide being issued, there has also been an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide and an updated MMSEA Section 111 NGHP User Guide issued. We have addressed many of the revisions […] Continue

Updated WCMSA Reference Guide Issued; Addresses Recent Alarming Trends

CMS, Medicare Set-Asides, MSP News on January 7, 2019
Posted by Jean S. Goldstein, JD

An updated Workers’ Compensation Medicare Set-Aside Reference guide was issued today.   The revised guide, version 2.9 can be found here. The updates in this guide are as follows: To eliminate issues around Development Letter and Alert templates auto populating with individual Regional Office (RO) reviewer names and direct phone numbers, these will now display the […] Continue

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

CMS, Medicare Secondary Payer Recovery Portal, MSP News on January 2, 2019
Posted by Jean S. Goldstein, JD

We recently blogged about a webinar held by the Centers for Medicare & Medicaid Services regarding the additional enhancements coming to the Medicare Secondary Payer Recovery Portal (MSPRP) this week.  The webinar slides are now available for download here, and provide important information about the new self-reporting feature and the new multi-factor authentication process, as […] Continue