CMS’ Data Driven Approach to MSP Compliance
Injured parties should be advised about the potential impact of the MSP Act on their post-settlement injury-related care and files properly documented.
Category: Medicare Compliance
Understanding Medicare Advantage Plans: A Comprehensive Overview
Medicare Advantage plans have emerged as a popular option for individuals seeking healthcare coverage beyond what traditional Medicare offers.
Would Better Billing by Providers Result in Fewer MSP Recovery Claims Cases?
MSP Recovery Claims, Series LLC, and MSPA Claims 1, LLC have filed several cases on behalf of Medicare Advantage Organizations (MAOs).
Take Stock of Your Firm’s MSP Compliance Protocol Before it is Too Late
If you’re looking to establish your firm’s MSP compliance protocol, reach out to Synergy’s team of MSP compliance experts for help.
Synergy’s Workers’ Compensation Medicare Secondary Payer Advice
An attorney representing an injured worker may scan the defense’s Medicare Set-Aside and assume the future medical issues have been addressed.
How Does Medicare Decide Which Payments Are Conditional?
Settlements involving Medicare beneficiaries require additional scrutiny to ensure compliance with the MSP Act.
11th Circuit Brings Clarity to the Statute of Limitations for Medicare Advantage Plans
The 11th Circuit Court of Appeals has attempted to bring some clarity to the statute of limitations in a recent case.
Withdrawal of Long-Awaited Proposed MSP Rules for Liability Cases
October 18, 2022 By: Rasa Fumagalli, JD, MSCC, CMSP-F Medicare has struggled over the years to provide rules clarifying existing Medicare Secondary Payer (MSP) compliance obligations when it comes to post-settlement injury-related care that is released in a liability settlement. Their first attempt at proposed rulemaking took place in 2012 and resulted in the notice […]
Maximizing Personal Injury Recoveries While Limiting Case-Related Costs
Life care plans may range anywhere from on the low end $10,000 to $20,000 or more.