ECS on MSP
Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance

Medicare Advantage Update: New Case in Connecticut
A new decision from United States federal court in Connecticut opens the door for Medicare Advantage organizations (MAOs) to use the Medicare Secondary Payer statutes

Workers’ Compensation Review Contractor Protest
In September of this year the Centers for Medicare & Medicaid Services (CMS) announced the award of a new Workers’ Compensation Review Contractor (WCRC) contract

2018 MSP Reporting and Recovery Thresholds Remain $750
CMS announced it will maintain the existing $750 reporting and recovery thresholds for physical trauma-based liability settlements and for no-fault insurance and workers’ compensation settlements,

Movement in the MSP Compliance Realm? Update on Liability and No-Fault Medicare Set-Asides
In a previous Industry News Bulletin, we noted that CMS seemed to be taking affirmative first steps on Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault

Why does the MSP industry use the phrase “consider and protect” when discussing Medicare’s interest?
Recently you may have seen some back and forth about the plain language of the Medicare Secondary Payer (MSP) Statute found at 42 USC 1395y(b).

CMS Takes First Steps on LMSAs
Last week CMS released a change request to modify Medicare’s Common Working File (CWF) to address a new Liability Medicare Set-Aside (LMSA) policy. The announcement

California Federal Court: CMS May Not Seek Reimbursement for Conditional Payments That are Unrelated to the Claim
On January 5, 2017 in the matter of California Insurance Guarantee Association (CIGA) v. Burwell(i), a Federal Court granted CIGA’s Motion for Partial Summary Judgment

CMS Reduces Liability Reporting Threshold to $750 for 2017
After announcing last month that CMS was reducing the recovery threshold for physical trauma-based liability settlements from $1,000 to $750 for 2017, CMS has now

CMS Improves Functionality and Access to MSPRP
The Centers for Medicare and Medicaid Services (CMS) released an updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 3.5) which
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