WOS v. EMA – US Supreme Court Strikes Down North Carolina’s Medicaid Third Party Liability recovery statute and reaffirms Ahlborn
By Jason D. Lazarus, J.D., LL.M, MSCC, CSSC
Since the landmark decision by the US Supreme Court in Arkansas Department of Health and Human Services v. Ahlborn in 2006, state Medicaid agencies have grappled with how to recover monies spent …
Medicare Secondary Payer Language in Your Release: Problems?
Are the defendants/insurance carriers throwing everything but the kitchen sink into your release language in regards to protecting Medicare’s interests? Be careful what you agree to include in the settlement documents. It can potentially cause a loss of itemized medical …
Understanding the MSPRC Process
By Tal A. Wollschlaeger
Medicare Lien Analyst
Everybody expects to get paid back one way or another. Whether someone owes you money because you bought him or her lunch when times were tough or you owe money on your credit …
US Congress Passes the Strengthening Medicare Secondary Payer Rules Act: Will it Help?
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
On December the 19th the Strengthening Medicare Secondary Payer Rules Act was passed by the House. The Senate passed the Act on December the 21st. It is on its …
Medicare Secondary Payer Recovery Portal is Live
The Medicare Secondary Payer Recovery Portal is Live!
A new online Self-Service Tool to help manage your Medicare recovery case.
The Centers for Medicare & Medicaid Services (CMS) has implemented a new web-based tool designed to assist in the resolution …
Is your MSP compliance provider doing more harm than good by advocating to ignore Medicare’s future interests?
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
With Medicare Secondary Payer (“MSP”) Compliance on everyone’s minds these days, it is no wonder that MSP vendors have tried to capitalize on these fears by offering services targeting them. The problem …
Something Useful from MSPRC – “Self-Calculated Final Conditional Payment Amount” Option
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
The MSPRC announced today a new alternative for resolving conditional payments. It allows for self calculation of the conditional payment amount when the settlement is $25,000 or less. The substance of the …
Clients on Medicaid & Medicare Need Special Planning
By Jason D. Lazarus, J.D., LL.M., MSCC, CSCC
Some individuals are “dual eligible” meaning they qualify for both Medicaid and Medicare. In certain cases, a Medicare Set Aside/Special Needs Trust or Pooled Trust Sub-Account may be necessary to preserve the …
Medicare’s “New” Demand Letters: How Have They Changed?
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
On May 25th, the MSPRC temporarily suspended issuing demand letters. The suspension was apparently due to the Haro v. Sebelius decision from Arizona wherein Medicare was enjoined from certain collection …
What to Look For When Hiring a Medicare Compliance (MSA) Vendor
By B. Joshua Pettingill & Jason D. Lazarus
The hiring of a Medicare Set Aside (“MSA”) allocation vendor is an important decision when settling a worker’s compensation or liability matter. The future medical costs included in the allocation report can …
