ECS on MSP
Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance
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
Medicare Advantage Plans Prevail Again Before a Federal Appeals Court
Double Damages and MAPs – What You Need To Know: On August 8, 2016, the U.S. Eleventh Circuit Court of Appeals upheld an order from
Removal of SSN from Medicare Cards to Impact MSP Compliance
A law passed in 2015 eliminated Social Security Numbers (SSNs) from Medicare ID cards, also known as Health Insurance Claim Numbers (HICNs). Congress and the
CMS Considers New Effort to Expand MSA Review Process to Liability
The Centers for Medicare and Medicare Services (CMS) is considering expanding the voluntary Workers’ Compensation MSA review process to include review of liability and no-fault
CMS Publishes Alert for Additional Excluded ICD Codes for Section 111 Reporting
On Monday, May 23, 2016, the Centers for Medicare & Medicaid Services (CMS) published a Technical Alert regarding new excluded diagnosis codes. The alert can
CMS Final Rule for Process and Timeline to Obtain Final MSP Conditional Payment Amounts via Web Portal
On May 17, 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule entitled “Medicare Program: Obtaining Final Medicare Secondary Payer Conditional
Takemoto False Claims Act Case Dismissed
A suit under the Federal False Claims Act against more than 50 insurance stakeholders filed in the U.S. District Court for the Western District of
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