The PAID Act: Offering Hope to Coordinate Medicare Advantage Claims

On December 11, 2020, the MARC Coalition succeeded in its efforts to have Congress enact the Provide Accurate Information Directly (“PAID”) Act, filling a gaping hole in the MSP claims resolution process related to Medicare Advantage Organizations and Part D Plans (collectively “MAOs”).  The new law, included as section 1301 of H.R. 8900 (116th Congress,… Read more »

Maintaining Status Quo: CMS Retains $750 TPOC and Recovery Threshold

True to form, the Centers for Medicare & Medicaid Services (CMS) released another Alert during a holiday weekend.  This time, on the day before Thanksgiving Day, CMS announced that the Total Payment Obligation to the Claimant (TPOC) and Conditional Payment recovery thresholds for Workers’ Compensation, Liability, and No-Fault insurance claims remain unchanged at $750.  These… Read more »

CMS Enhancements to the MSPRP

On July 13th the Centers for Medicare & Medicaid Services (CMS) released previously announced enhancements to the Medicare Secondary Payment Recovery Portal (MSPRP).  The MSPRP “web-based tool” is designed to assist in the resolution of liability insurance, no-fault insurance, and workers’ compensation Medicare recovery cases. These enhancements reflect CMS’ continued efforts to supply self-service options to the… Read more »

CMS Announces Enhancements to the MSPRP

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

Ask Annie: Mythical Zero Allocations

A “zero allocation” is what we call not setting money aside to pay for a claimant’s post-settlement Medicare-covered medical needs. A zero allocation is possible in two situations.