The Official Medicare Set Aside Blog And Information Resource

U.S. Attorney’s Office Settles Conditional Payments Debts with Personal Injury Law Firm and Requires Attorney to Institute Best Internal Compliance Practices

Conditional Payments, Medicare, MSP News on June 20, 2018
Posted by Jean S. Goldstein, JD

On Monday, the U.S. Department of Justice’s Attorney’s Office for the Eastern District of Pennsylvania issued a press release concerning a settlement arrangement involving the repayment of conditional payments.  U.S. Attorney William M. McSwain announced that the Philadelphia personal injury law firm, Rosenbaum & Associates, and its principal, Jeffrey Rosenbaum entered into a settlement agreement […] Continue

How Will Mandatory Reporting Be Affected by CMS’ Announcements Regarding Thresholds?

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on December 13, 2016
Posted by Jean S. Goldstein, JD

CMS recently announced a change in the reporting thresholds to $750 for liability settlements, and advised that it would maintain the $750 threshold for no-fault and workers’ compensation settlements, where the insurer or entity does not otherwise have ongoing responsibility for medicals (ORM).  Just yesterday, CMS issued a technical alert regarding the change in reporting […] Continue

NGHP MMSEA Section 111 User Guide Version 4.7 Released

CMS, Mandatory Insurer Reporting, MSP News on July 14, 2015
Posted by Jessica M. Wingenroth, JD

In their fourth update this year, CMS applied four change requests to Version 4.7 of the NGHP MMSEA Section 111 User Guide. All changes incorporated information published in prior Alerts. Within Version 4.7 you can find the new: Recovery Agent process with dedicated fields, eliminating the prior TPA workaround; Section 111 Coordination of Benefits Secure […] Continue