The Official Medicare Set Aside Blog And Information Resource

CMS Releases Proposals that Will Likely Increase Medicare Advantage Plan Enrollment

CMS, Medicare Advantage, Medicare Set-Aside Blog, MSP News on January 31, 2019
Posted by Jean S. Goldstein, JD, CMSP

Yesterday, CMS released Part II of a set of proposals that CMS indicates “will take significant steps in continuing the agency’s efforts to maximize competition among Medicare Advantage Plans (MAP) and Part D plans.”  Part I of CMS’ proposal was released on December 20, 2018 and included proposed updates to the Part C risk adjustment […] Continue

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

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, CMSP

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, CMSP

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

CMS Webinar Held Today: Changes to the Medicare Secondary Payer Recovery Portal Are Coming

CMS, Medicare Secondary Payer Recovery Portal, MSP News on December 18, 2018
Posted by Jean S. Goldstein, JD, CMSP

Today, the Centers for Medicare & Medicaid Services held a high level overview webinar of the upcoming Medicare Secondary Payer Recovery Portal (MSPRP) enhancements, which as you may recall we addressed in our recent blog post:  Medicare Secondary Payment Recovery Portal (MSPRP) to Allow for Self-Reporting: Coming January, 2019. The purpose of the webinar was […] Continue