Blog
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Medicare Issues Group Health Plan (GHP) Defense Reference Guide
by P. Czuprynski Recently, Medicare issued a reference guide associated with conditional payment recovery related to group health plan claims. So, if a person has group health coverage AND Medicare...
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Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Act
by B. Smith The Eleventh Circuit Court of Appeals in MSP Recovery Claims, Series LLC v. Metropolitan General Insurance Company, et. al., Case No. 21-11547 (11th Cir. July 18, 2022),...
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CMS Issues WCMSA Reference Guide Version 3.7
Recently, CMS issued Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 3.7. CMS updated Section 10.3 with a new link to the CDC Life Table. IMPAXX shared the news that...
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CMS to Begin Using 2019 Life Table
Starting June 4, 2022, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population:...
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Clearing Up Non-Submit MSAs – CLM Magazine
Co-Chief Executive Officers Barbara Fairchild and Jon Gunter recently wrote an article for CLM Magazine, Clearing Up Non-Submit MSAs, where they provide their insights on Section 4.3 of WCMSA...
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Conditional Payments: Recent Wins
By P. Czuprynski After administrative appeals, IMPAXX recently won two claims associated with conditional payments. In both cases, Adjudicators (ALJ) with the Office of Medicare Hearing and Appeals determined Medicare...
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Medicare Secondary Payer Recovery Portal “Go Paperless” Webinar Highlights
By P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) hosted a webinar to discuss its option for carriers, self-insureds, or their recovery agents to obtain service of conditional...
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MEDVAL and NuQuest Come Together as IMPAXX
Medicare Secondary Payer (MSP) Compliance pioneers MEDVAL and NuQuest announced today that they will expand their product and service portfolios and enhance their customer systems by joining forces as...
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New WCMSA Reference Guide Provides Much Needed Clarification On Section 4.3
By B. Smith On March 21, 2022, the Centers for Medicare and Medicaid Services (CMS) released a new Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide, Version 3.6. The update to...