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Medicare Set-Aside (MSA) Account Administration: When To Call In the...

Posted by Douglas M. Brand, CSSC CEO & President, Medivest Benefit Advisors, Inc. Many times, one of the last of many difficult decisions to be made in the settlement process is how to administer...

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U.S. Flexes MSP Recovery Muscles with US v. Stricker

On December 1, 2009, the US Department of Justice, on behalf of the Secretary of Health and Human Services, filed a civil action to recover conditional payments that were made to approximately 907...

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Trade Groups Ask HHS to Delay MSP Reporting Requirement Deadline

Three insurer trade organizations have sent a joint letter to the Secretary of Health and Human Services, Kathleen Sebelius, seeking to extend the April 1, 2010 implementation of the Medicare Secondary...

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Congressman Pete Stark Requests GAO Study into Medicare Secondary Payer...

Last month, Congressman Pete Stark, Chairman of the Subcommittee on Health, Ways and Means Committee, sent a letter to the Government Accountability Office (GAO) formally requesting that the GAO...

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CMS Extends Section 111 Reporting Deadline and Dollar Thresholds

The Centers for Medicaid and Medicare Services (CMS) just announced another extension of the reporting deadline for the Medicare Secondary Payer (MSP) Mandatory Insurer Reporting (MIR) provisions in...

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Western District of NY Issues MSP Protocol

On May 6, 2011, Assistant U.S. Attorney for the Western District of New York (WDNY) Robert G. Trusiak issued the WDNY Medicare Secondary Payor Protocol, which outlines a voluntary standard operating...

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Congress Holds Hearing on Medicare Secondary Payer Problems

Yesterday, June 22, 2011, the Oversight and Investigations Subcommittee held a hearing to examine the Medicare Secondary Payer (MSP) System. In his opening statement, Congressman Cliff Stearns (R-FL),...

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GAO Issues Report Recommending Improvements to the MSP Program

On April 3, 2012, the United States Government Accountability Office (GAO) issued a much-anticipated report examining the Medicare Secondary Payer (MSP) program entitled, “Medicare Secondary Payer:...

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Marilyn Tavenner Confirmed as the Administrator of the CMS

Yesterday, by a vote of 91-7, the U.S. Senate approved President Obama’s nominee to be the administrator of the Centers for Medicare and Medicaid Services (CMS).  Ms. Tavenner became Acting Director in...

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Medicare Set-Aside (MSA) Insurance Policy Announced

IronHealth, the healthcare unit of Ironshore, Inc. recently announced that it will offer an insurance policy for carriers and self-insureds who elect to forego the Centers for Medicare and Medicaid...

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MSP and MSA Bill Introduced in the U.S. Senate

A year ago we wrote a post saying that the 15% safe harbor payment provision of House Bill 1982 was impractical and problematic. Well, it seems that Senator Bill Nelson (D-FL) has come to the same...

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CMS Allows Entry of Prescription Information Online

The Centers for Medicare and Medicaid Services (CMS) has announced an upcoming enhancement to its Medicare Set-Aside (MSA) Portal that will allow submitters to be able to enter prescription drug...

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MSP broadens possiblities for private causes of action

On Monday,  a U.S. District Court in Michigan denied a request to dismiss a private cause of action motion brought under the Medicare Secondary Payer (MSP) Act in a no-fault, motor vehicle accident...

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NCCI Releases Workers’ Compensation Medicare Set-Aside Research Paper

The National Council on Compensation Insurance (NCCI), the nation’s most experienced provider of workers’ compensation information, has released its much-anticipated report on Medicare Set-Asides and...

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CMS Acknowledges Conditional Payment Processing Backlog

On February 9, 2016, the Centers for Medicare and Medicaid Services (CMS) posted a notice on their website acknowledging that they were experiencing a backlog in processing Conditional Payment Letters...

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CMS to Solicit Competitive Bids for Medicare Set-Aside Review Work

The Centers for Medicare and Medicaid Services has announced that it intends to release a solicitation for competitive bids for the Workers’ Compensation Review Contractor (WCRC) on or about March 8,...

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NEWS ALERT – CMS Announces Potential Upcoming LMSA Reviews

The Centers for Medicare and Medicaid Services (CMS) confirmed yesterday that they are considering expanding their voluntary Medicare Set-Aside review process to include Liability Medicare Set-Asides...

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