The Official Medicare Set Aside Blog And Information Resource

H.R.5881 Introduced in An Effort to Add Transparency to MSP Reporting Information

CMS, Medicaid, Medicare, Medicare Advantage, Medicare Set-Aside Blog, MSP News on May 22, 2018
Posted by Jean S. Goldstein, JD, CMSP

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

Full Medicaid Recovery Coming to a Claim Near You: October 1st

Conditional Payments, Medicaid, Medicare, Medicare Set-Aside Blog, MSP News on September 25, 2017
Posted by Jean S. Goldstein, JD, CMSP

As we have seen, Medicare Advantage Plans, Military/Governmental Healthcare Providers, and Private Insurers are aggressively pursuing liens with a priority right approach to recovery.  We often discuss these entities in the context of being a secondary payer, and the omnipresent concern that these entities will seek reimbursement of payments that have been conditionally made, when […] Continue

CMS Quietly Proposing Adjustments to Future Medicaid Recovery Processes

CMS, Medicaid, Medicare Set-Aside Blog, News and Events, Work Comp on June 4, 2015
Posted by Erin O'Neill, PA-C, JD

As noted in our previous post entitled “Medicaid Recoveries and Workers’ Compensation” it appears that Medicaid recovery efforts in workers’ compensation claims have begun in certain states. While it was uncommon in the past for worker’s compensation claimants to also be entitled to Medicaid, with the Medicaid expansion provided by the Affordable Care Act, greater […] Continue

Medicaid Recoveries and Workers’ Compensation

Medicaid, Medicare Set-Aside Blog, News and Events, Work Comp on June 3, 2015
Posted by Jennifer Jordan, JD, MSCC

Let the games begin. It was recently reported to me that TPAs throughout the State of Kentucky were blanketed with “we understand that you may be responsible” letters for a number of state Medicaid recipients also on workers’ compensation. Don’t panic but we are about to embark on a whole new world of government bureaucracy […] Continue