The Official Medicare Set Aside Blog And Information Resource

CMS Adds a Proposed Rule – Will it Affect Your Workers’ Compensation and Liability Claims?

CMS, Medicare Set-Asides, MSP News on December 10, 2018
Posted by Jean S. Goldstein, JD, CMSP

The Centers for Medicare & Medicaid Services (CMS) recently added an item to the Unified Agenda, which may have an impact on your claims.  The Unified Agenda of Federal Regulatory and Deregulatory actions is a semiannual compilation of information about regulations under development by federal agencies published in the spring and fall.  The item added […] Continue

FDA Awards Six-Month Patent Extension for Lyrica

FDA, MSP News, Rx/Pharmacy on November 30, 2018
Posted by Complex Claims Division

You may recall our earlier blog this week about Lyrica in the News.  Once again, the spotlight is on Lyrica.  First, after Pfizer was awarded a six-month patent extension based on a new pediatric indication for the drug.  Earlier this month, the Supreme Court in the United Kingdom ruled against Pfizer in a longstanding patent […] Continue

Medicare’s Conditional Payment Recovery Process is Ramping Up:  What You Need to Know.

Conditional Payments, CRC, MSP News on November 14, 2018
Posted by Jean S. Goldstein, JD, CMSP

Last month, at the annual National Alliance of Medicare Set-Aside Professionals’ Annual Conference, Performant Financial (Performant), the current contractor for the Commercial Repayment Center (CRC), held a timely panel question and answer session.  You may recall that we recently blogged about how the current conditional payment recovery process continued to terrorize many non-group health plans.  […] Continue

NAMSAP Bulletin Provides a Sneak Peek into CMS’ LMSA Review Program

CMS, Liability, MSP News on August 13, 2018
Posted by Jean S. Goldstein, JD, CMSP

Last week, the National Alliance of Medicare Set Aside Professionals (NAMSAP), through their Liability Medicare Set Aside (LMSA) Committee issued a special edition bulletin about LMSAs.  The bulletin described an April 16, 2018 meeting between NAMSAP members and the Centers for Medicare & Medicaid Services (CMS).  The informational bulletin, which is subject to change until […] Continue

Medicare Secondary Payer Portal (MSPRP) Overview Webinar Scheduled for August 16, 2018

CMS, Conditional Payments, MSP News on July 31, 2018
Posted by Jean S. Goldstein, JD, CMSP

You may recall we recently advised that CMS released an updated Medicare Secondary Payer Recovery Portal (MSRP) user guide, with the intention of creating more efficient practices.  CMS will be hosting a webinar to present the benefits of using the MSPRP, as well presenting the newly available features.  The webinar will be held on August […] Continue