CMS Updates Workers’ Comp Settlement Guidance
Following an August Town Hall call that addressed workers’ compensation indemnity-only settlements, the Centers for Medicare & Medicaid Services (CMS) made significant
Spotlight on TOP Program: Offsets Hit 9/11 Fund
When Medicare conditional payment demands go unpaid, the debt is referred to the U.S. Department of Treasury for direct collection and offset. The Treasury Department’s
Closing the Loop on Trostle: USDOJ Did Not Satisfy “Must File” Provision of MSP Regulations So Netted $54,000 Instead of $84,000
On Friday, August 21, 2020, the United States Department of Justice released notice it had reached a settlement with Angino Law Firm to accept almost $54,000 in
CMS Holds Section 111 Town Hall Call
For the first time in several years, the Centers for Medicare & Medicaid Services held a Section 111 NGHP Town Hall webinar. The webinar focused on common issues that
Falling Oxycodone Prices and FDA Requirement for Labeling Changes
We continue to have falling opioid prices with the latest being the oxycodone formulations. While opioid volume and costs are on a downward trend in utilization, per
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
Buyer Beware! Designer Name Private-Label Topicals?
Arecent Workers Compensation Research Institute (WCRI) FlashReport[1] reviewed interstate variation and trends in workers’ compensation drug payments over three years
Regulatory Can Kicked Again: But Are We Getting Closer?
Nineteen months ago Medicare announced plans to introduce important new regulations concerning post-settlement medical care. This week Medicare updated the announcement
RREs Must Report Combined Med Pay and PIP Coverage Limits on No-Fault Claims
On June 8, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an alert to remind non-group health plan (NGHP) responsible reporting entities (RREs) that