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29 Sep 2023, 3:56 am by Jon L. Gelman
The process is authorized by the Medicare Secondary Payer Act (MSP).The Centers for Medicare & Medicaid Services (CMS) Medicare Program will continue during a lapse in appropriations at a significantly reduced staffing level. [read post]
19 Dec 2021, 3:08 am by Jon L. Gelman
Computation of Annual Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers' Compensation Settlements, Judgments, Awards, or Other Payments for 2022 were announced this week.BACKGROUND:The Medicare Secondary Payer (MSP) provisions of the Social Security Act prohibit Medicare from making payments where payment has been made or can reasonably be expected to be made by a primary plan. [read post]
9 Mar 2021, 6:30 am by Michael B. Stack
Medicare Secondary Payer compliance will continue to be a challenge for the claim team members and interested stakeholders. [read post]
21 May 2018, 1:08 pm by Michael B. Stack
Since the advent of the Medicare Set-Aside review process in 2001, the Centers for Medicare and Medicaid Services (CMS) has added policies and contractors to its enforcement mechanisms under the Medicare Secondary Payer Act. [read post]
14 Jun 2017, 5:06 pm by James Aspell
You may be aware that, in February 2017, CMS took another step to clarify that, pursuant to the Medicare Secondary Payer Act (MSP) [1], Medicare’s interests need to be considered in liability insurance [2] and no-fault insurance [3] claims, wherein Medicare is a secondary payer. [read post]
5 Apr 2017, 6:30 am by Daniel Anders
Dan oversees the Medicare Secondary Payer (MSP) compliance program. [read post]
18 Jan 2017, 7:06 am by Daniel Anders
Dan oversees the Medicare Secondary Payer (MSP) compliance program. [read post]
17 Dec 2016, 7:00 am by Jon Gelman
The current Federal Court decisional activity involving NJ operating pharmaceutical distributors is reviewed.The new Centers for Medicare and Medicaid Centers (CMS) Secondary Payer Act Secondary Payer Act (MSP) offset procedures and adopted regulations, implementing The SMART Act are presented in this supplement. [read post]
27 Jul 2016, 5:11 pm by Mildred Segura and Kimberly Chow
The Centers for Medicare & Medicaid Services (CMS) has published its long-awaited final rule entitled “Medicare Program: Obtaining Final Medicare Secondary Payer Conditional Payment Amounts via Web Portal. [read post]
22 Sep 2015, 6:30 am by Michael B. Stack
It is expected that additional changes will be announced shortly regarding the multi-factor authentication process and the Medicare Secondary Payer Recovery Portal. [read post]
4 Jul 2015, 8:41 pm by Michael B. Stack
  Under the Medicare Secondary Payer Act, “conditional payments” occur when Medicare “make(s) payment…with respect to an item or service if a primary plan…has not made or cannot reasonably be expected to make payment with respect to such item or service promptly…. [read post]
3 Feb 2015, 1:47 am by Debra A. McCurdy
Extend Medicare Secondary Payer reporting requirements to group health plans offering prescription drug coverage ($480 million). [read post]
26 Dec 2014, 11:20 am by Jon Gelman
The recent Court ruling involving temporary disability benefits and third-party action liens are included in this supplement.The newly promulgated regulations concerning the implementation of The Smart Act  and the Medicare Secondary Payer Act are analyzed in this supplement. [read post]
4 Aug 2014, 10:04 am by Jon Gelman
The future will be solutions to Medicare's fiscal integrity, the integration of the Affordable Care Act,  preventive health care, safer workplaces and globalization of the Social Security Disability Insurance (SSDI) system.Related articlesCMS Consolidates Web Portals for Coordination of Benefits & Recovery (workers-compensation.blogspot.com)Medicare Secondary Payer Activities Expected to Accelerate This Fall (virtual-strategy.com)Halted:… [read post]
1 Jul 2014, 6:30 am by Michael B. Stack
The consolidation of the Coordination of Benefits Contractor (COBC) and Medicare Secondary Payer Recovery Contractor (MSPRC) has caused confusion of attorneys and claims management teams when resolving conditional payments in workers’ compensation and personal injury cases. [read post]