The Official Medicare Set Aside Blog And Information Resource

Addition of New View and Print Functionality in Medicare Secondary Payer Recovery Portal (MSPRP)

CMS, Medicare Secondary Payer Recovery Portal, Medicare Set-Aside Blog on June 2, 2020
Posted by Jean S. Goldstein, JD, CMSP

Today, the Centers for Medicare & Medicaid Services (CMS) issued an alert that on July 13, 2020, the Medicare Secondary Payer Recovery Portal (MSPRP) is scheduled to be enhanced to allow authorized users to view and print correspondence via new functionality. MSPRP users who log in using Multi-Factor Authentication will be able to view and […] Continue

Conditional Payments Continue; Designating a Recovery Agent Could Help

CMS, Conditional Payments, Medicare Set-Aside Blog on May 26, 2020
Posted by Jean S. Goldstein, JD, CMSP

In the face of the pandemic, which continues to impact our daily lives, one thing remains constant:  conditional payments. A conditional payment occurs when Medicare makes a payment on behalf of a beneficiary for medical treatment services when payment should have been made or reasonably could be expected to be made by a primary payer. To […] Continue

Updated WCMSA Reference Guide Issued

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on May 15, 2020
Posted by Jean S. Goldstein, JD, CMSP

Today, the Centers for Medicare & Medicaid Services (CMS) released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide.  The updated guide is version 3.1, dated May 11, 2020, and can be found here. As with other versions of the guide, a summary of updates to the guide are found in Section 1.1. The only update […] Continue

Court Finds Defendant Made Good Faith Effort to Secure SSN to Comply With Section 111 Reporting Requirements

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP Litigation on May 6, 2020
Posted by Jean S. Goldstein, JD, CMSP

As we recently blogged, the comment period for the Centers for Medicare & Medicaid’s (CMS) Section 111 Civil Money Penalties (CMPs) proposed rule closed. This rule contains the circumstances for when the imposition of CMPs would apply, along with some important guidelines of when CMPs would not be imposed based upon good faith efforts to […] Continue

FDA Approves First Ibuprofen-Acetaminophen Combination Product

FDA, Medicare Set-Aside Blog, Rx/Pharmacy on May 5, 2020
Posted by Leah King, PharmD, JD, Independent Pharmacy Consultant

The FDA has approved the first ibuprofen-acetaminophen combination product, which will be available as an over-the-counter product and marketed under the name of Advil Dual Action. The use of Advil Dual Action is approved for the temporary relief of minor aches and pains due to headache, toothache, backache, menstrual cramps, muscular aches and minor pain […] Continue