MSP News
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OIRA Issues Notice Regarding Civil Money Penalties Rule. Is a Final Rule on the Way?
by B. Smith The Office of Management and Budget’s Office of Information and Regulatory Affairs (OIRA) published a notice regarding its review of the Medicare Secondary Payer and Certain Civil...
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CMS to Increase Availability of “Fixed Percentage” Option for Reimbursement of Conditional Payments
by Settlement Consulting Team Medicare recently issued a notice that the requirements associated with the fixed percentage approach to resolving conditional payments associated with certain settlements are changing. Effective October 2,...
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CMS Issues Outage Notifications for Key Services
The migration of the Baltimore Data Center (BDC) to a new Data Center (Ashburn, VA) will have an impact on several key services. There will be outages to the...
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CMS Releases New WCMSA Reference Guide Version 3.9
by B. Smith On May 15, 2023, the Centers for Medicare & Medicaid Services (CMS) issued an updated Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) User Guide version 3.9, which contains...
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CMS Announces New Mailing Address for CRC Correspondence
Effective March 13, the mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence has changed. After March 13, use the following mailing address when corresponding with...
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MSPA Claims/MSP Recovery Not Successful in Eleventh Circuit Appeal – MSP Act Does Not Preempt Insurance Policy or State Law
by J. Mislanovich Recently, the Eleventh Circuit ruled against MSPA Claims/MSP Recovery (MSPR) in MSP Recovery Claims, Series LLC v. United Auto. Ins. Co.[1], finding that the Medicare Secondary Payer...
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CMS Issues Memo on MSP Obligations When Settling Alleged Exposure Claims
by B. Smith On January 20, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a memo entitled Medicare Secondary Payer (MSP) Obligations and Settlements Related to Alleged Exposure...
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Medicare Set-Aside Statistics 2020-2022 Continue to Show Increase in Submitted MSA Amounts
by B. Smith This week, the Centers for Medicare & Medicaid Services (CMS) released the 2020-2022 fiscal year statistics for Workers’ Compensation Medicare Set-Asides (WCMSAs) that have been submitted to...
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CMS Now Consistently Requesting Expense Payment Histories
by J. Mislanovich The Centers for Medicare & Medicaid Services (CMS) WCMSA Reference Guide has always indicated that an all-inclusive payment history (including medical, indemnity, and expenses) is to be...