The Official Medicare Set Aside Blog And Information Resource

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

CMS, Mandatory Insurer Reporting, MSP News on October 16, 2019
Posted by Jean S. Goldstein, JD

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

Ninth Circuit: Guaranty Fund Is Not Deemed a Primary Plan as Related to Non-Covered Claims; States No Obligation to Reimburse Medicare Conditional Payments on Subset of Claims

CMS, Conditional Payments, MSP Litigation, MSP News on October 15, 2019
Posted by Jean S. Goldstein, JD

Last week, the Ninth Circuit United States Court of Appeals issued an important decision involving the Centers for Medicare & Medicaid Services, and the California Insurance Guaranty Fund (CIGA) in Cal. Ins. Guarantee Ass’n v. Azar, Nos. 17-56526, 17-56528, 2019 U.S. App. LEXIS 30339 (9th Cir. Oct. 10, 2019). We last discussed this case in […] Continue

Addition of Open Debt Report Function to the Medicare Secondary Payer Recovery Portal (MSPRP) and Two New Portal User Guides Issued

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

You may have seen our blog post on Friday, regarding an alert from the Centers for Medicare & Medicaid Services (CMS) regarding two upcoming webinars to highlight a new electronic attestation feature on the Workers’ Compensation Medicare Set-Aside portal.  CMS also issued an alert on Friday morning regarding an additional enhancement to the Medicare Secondary […] Continue

U.S. House of Representatives Introduce Workers’ Compensation Medicare Set-Aside Legislation

CMS, Medicare Set-Asides, MSP News on August 23, 2019
Posted by Jean S. Goldstein, JD

You may recall that in 2018 we reported that a Senate Bill was introduced, “[t]o amend title XVIII of the Social Security Act to provide for the application of Medicare secondary payer rules to certain workers’ compensation settlement agreements and qualified Medicare set-aside provisions.”  As we described it, the Bill was a piece of legislation to […] 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

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