MSP News
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CMS Maintains $750 Recovery Threshold for 2025
CMS is required to publish an annual threshold for recovery each year. This threshold amount reflects an amount for which CMS will not spend more on collections than a...
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MSPN Annual Conference Recap
By M. Heberling and D. Dietz The National MSP Network held their annual educational conference on September 25-27. This was an exciting year to be at the conference as there...
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CMS to Host Second Webinar on Certain Civil Money Penalties Final Rule for NGHP Responsible Reporting Entities
The Centers for Medicare & Medicaid Services (CMS) has announced they will be hosting their second Medicare Secondary Payer (MSP) and Certain Civil Money Penalties (CMPs) Informational Webinar on...
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CMS Announces COB&R Outages for Last Weekend in June
Due to system modernization efforts, there will be outages to the following Coordination of Benefits & Recovery (COB&R) applications and operations during the last weekend in June. Normal operations...
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Court Determines Medicare Advantage Lien Was Invalid in Wrongful Death Med-Mal Action
By B. Smith In Meador v. United States (D. Mass. Feb. 13, 2024)[1], plaintiffs filed a wrongful death action and loss of consortium claim arising from treatment the decedent, an...
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CMS Releases WCMSA 2023 Fiscal Year Statistics
by B. Smith The Centers for Medicare & Medicaid Services (CMS) released the fiscal year statistics (2020 to 2023) for Workers Compensation Medicare Set-Asides (WCMSAs) submitted to CMS as part...
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OIRA Issues Notice Regarding Civil Money Penalties Rule. Is a Final Rule on the Way?
by B. Smith The Office of Management and Budget’s Office of Information and Regulatory Affairs (OIRA) published a notice regarding its review of the Medicare Secondary Payer and Certain Civil...
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CMS to Increase Availability of “Fixed Percentage” Option for Reimbursement of Conditional Payments
by Settlement Consulting Team Medicare recently issued a notice that the requirements associated with the fixed percentage approach to resolving conditional payments associated with certain settlements are changing. Effective October 2,...
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CMS Issues Outage Notifications for Key Services
The migration of the Baltimore Data Center (BDC) to a new Data Center (Ashburn, VA) will have an impact on several key services. There will be outages to the...