ECS on MSP
Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance
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
CMS Announces Rollback of Rule Change Impacting Legal Zero MSAs
ExamWorks Compliance Solutions recently issued an Industry News Bulletin concerning an abrupt rule change to a long-standing CMS policy regarding approval of Legal Zero MSAs
CMS Implements $750 Settlement Threshold for WC Conditional Payment Recovery; Maintains $1,000 Threshold in Liability
A September 26, 2016 CMS Alert (Alert) announced the implementation of a $750 conditional payment recovery threshold for no-fault and workers’ compensation settlements. CMS also
Federal Appellate Court Holds Medicare Advantage Plan Assignees May Maintain Claims for Reimbursement Against No-Fault and PIP Plans
The 11th Circuit U.S. Court of Appeals, which includes Florida, Alabama and Georgia under its jurisdiction, has found that Medicare Advantage Plans (MAPs) may assign
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