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 …
A Timeline for Medicare Lien Resolution with MSPRC
MSPRC Resolution Timeline*
CMS has revamped the Medicare recovery process, creating a more efficient and less questionable path for the verification of Medicare conditional payments. Based on a compilation of facts from www.MSPRC.info, Medicare Correspondence, and daily interaction with …
CMS Update- MMSEA Section 111
CMS has made the following updates to the MMSEA section of the CMS website: http://www.cms.gov/
September 30, 2010
- Posted the September 22, 2010 NGHP Town Hall Teleconference Transcript to the NGHP Transcripts section page.
- Moved the January 28, 2010 NGHP
Malpractice – Medicare will not pay for “Hospital Acquired Conditions a.k.a “Never Events”
Insurers Request for Plaintiff Social Security Number
CMS finds insurers requests for SSN’s appropriate for Section 111 MMSEA purposes: http://www.cms.gov/MandatoryInsRep/Downloads/RevisedCollectionSSNEINs.pdf
In order for CMS to accurately coordinate payments made by Medicare to ensure appropriate payment, Medicare requires the HICN (Health Insurance Claim Number) or the SSN and …
