Centers for Medicare & Medicaid Services (CMS) issued an alert to remind non-group health plan (NGHP) responsible reporting entities (RREs) that they must combine both Med Pay and personal injury protection (PIP) coverage limits when reporting claims to CMS via Section 111 mandatory insurer reporting.

The Centers for Medicare & Medicaid Services (CMS) announced on June 1, 2020 upcoming enhancements to the Medicare Secondary Payment Recovery Portal (MSPRP).

Today’s question implicates Medicare’s mandatory insurer reporting requirements. Identifying and understanding how to fulfill these obligations is an important element to claims handling, made critical by the proposed regulations outlining whether and how Medicare may penalize noncompliant entities.

Pregabalin has been in the top 10 prescribed drugs in the workers’ compensation realm and has recently seen a further decline in price.

As of April 1, 2020, Medicare Set-Aside (MSA) submissions must include an updated Consent to Release (CTR) form containing additional language indicating the claimant had the MSA process explained and the claimant approves of the contents of the MSA proposal.

Effective March 17, 2020, all local Social Security offices will be closed for in-person services in an effort to protect older Americans, and people with medical conditions that would be adversely affected by the virus and their employees.

The New York State Workers’ Compensation Board will no longer approve Section 32 Agreements that contain Medicare Indemnity and Hold Harmless language.

obic (meloxicam) is a nonsteroidal anti-inflammatory drug (NSAID) which is often part of the pain management treatment plan, and provides a non-opioid alternative. Per the Official Disability Guidelines, it is recommended at the lowest dose for the shortest duration.

Identifying and understanding how to fulfill Section 111 obligations is an important element to claims handling, made critical by the impending regulations outlining whether and how Medicare may penalize non-compliant entities.