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ECS on MSP

Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance

Workers’ Compensation Review Contractor Protest

Workers’ Compensation Review Contractor Protest

In September of this year the Centers for Medicare & Medicaid Services (CMS) announced the award of a new Workers’ Compensation Review Contractor (WCRC) contract to

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December 14, 2017
Movement in the MSP Compliance Realm? Update on Liability and No-Fault Medicare Set-Asides

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

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July 9, 2017
Why does the MSP industry use the phrase “consider and protect” when discussing Medicare’s interest?

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). The discussion focused on

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June 29, 2017
CMS Takes First Steps on LMSAs

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

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February 26, 2017
California Federal Court: CMS May Not Seek Reimbursement for Conditional Payments That are Unrelated to the Claim

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

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January 12, 2017
CMS Announces Rollback of Rule Change Impacting Legal Zero MSAs

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

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November 1, 2016
Federal Appellate Court Holds Medicare Advantage Plan Assignees May Maintain Claims for Reimbursement Against No-Fault and PIP Plans

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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September 26, 2016
Medicare Advantage Plans Prevail Again Before a Federal Appeals Court

Medicare Advantage Plans Prevail Again Before a Federal Appeals Court

Double Damages and MAPs – What You Need To Know:

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August 23, 2016
CMS Considers New Effort to Expand MSA Review Process to Liability

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

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June 10, 2016
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