MSP News
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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...
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Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Act
by B. Smith The Eleventh Circuit Court of Appeals in MSP Recovery Claims, Series LLC v. Metropolitan General Insurance Company, et. al., Case No. 21-11547 (11th Cir. July 18, 2022),...
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CMS Issues WCMSA Reference Guide Version 3.7
Recently, CMS issued Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 3.7. CMS updated Section 10.3 with a new link to the CDC Life Table. IMPAXX shared the news that...
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CMS to Begin Using 2019 Life Table
Starting June 4, 2022, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population:...
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Medicare Secondary Payer Recovery Portal “Go Paperless” Webinar Highlights
By P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) hosted a webinar to discuss its option for carriers, self-insureds, or their recovery agents to obtain service of conditional...