Once More, With Feeling: CMS’ Blunt Reminder for Providers
Panic. Frustration. Fear. A Medicare beneficiary feels these emotions, and more, whenever their provider gives them the bad news. “Medicare is denying coverage for this
Mandatory MSA Reporting Begins Today
Today marks a pivotal point in workers’ compensation Medicare compliance. While for nearly fifteen years Medicare has required workers compensation claims payers to
CMS Announces Plan to Require WCMSA Data via Section 111
Last November, the Centers for Medicare & Medicaid Services (CMS) did something unprecedented. CMS announced, in a one hour webinar, its future plans to require
Days Away from the Section 111 Civil Money Penalties Final Rule?
The Centers for Medicare & Medicaid Services (CMS) appear poised to release a long-awaited final rule related to MMSEA Section 111 reporting civil money penalties.
CMS Updates the NGHP User Guide: RIP NOINJ
On June 5th the Centers for Medicare & Medicaid Services (CMS) released an updated Section 111 Non Group Health Plan (NGHP) User Guide. Version 7.2 of the User Guide
What Do Medicare and Charlie Brown Have in Common?
Lucy and Charlie Brown. The Cleveland Indians. Peter O’Toole. The Minnesota Vikings[1]. CMS and Medicare Secondary Payer regulations. If you got “Famous Almosts” you
Second Circuit Falls in Line on Medicare Advantage
Medicare Advantage Plans remain largely undefeated. For the last decade, MAPs have pulled off an impressive streak of wins as they – in an attempt to collect direct
Why You (or Your Recovery Agent) Should Go Paperless Right Now
L ate last year, the Centers for Medicare & Medicaid Services (CMS) and its coordination of benefits contractor, the BCRC, soft launched a process to largely eliminate
Three Rules for “Surviving” Liability MSAs
As our loyal readers are all-too-well aware, we’ve been awaiting written regulatory proposals regarding liability Medicare Set-Asides (MSA) for a number of years. ECS