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 »

RREs Must Report Combined Med Pay and PIP Coverage Limits on No-Fault Claims

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.

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).

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 establishes a timeline for back-end technical changes and provides clues to Medicare’s new policy. A copy of the notice can be found here. What does the change request say? To… Read more »

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 issued an Alert that as of 1/1/2017 the mandatory reporting threshold for liability insurance Total Payment Obligation to the Claimant (TPOC) Amounts dated 1/1/2017 or after is changing from $1,000… Read more »

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 announced it is maintaining the $1,000 conditional payment recovery threshold for liability settlements, a threshold which has been in place since January 1, 2014. Implications Workers’ compensation and no-fault plans… Read more »

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 insurance MSA amounts.   The June 9, 2016 notice states as follows: The Centers for Medicare and Medicaid Services (CMS) is considering expanding its voluntary Medicare Set-Aside Arrangements (MSA) amount review… Read more »