Blog
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Exploring Different Processes for Medicare Liens: Parts A, B, C, and D
P. Czuprynski Earlier in March, as part of our complimentary knowledge series of webinars on Medicare Secondary Payer Compliance, we reviewed the different search and collection processes for Medicare Parts...
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CMS Announces New Mailing Address for CRC Correspondence
Effective March 13, the mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence has changed. After March 13, use the following mailing address when corresponding with...
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MSPA Claims/MSP Recovery Not Successful in Eleventh Circuit Appeal – MSP Act Does Not Preempt Insurance Policy or State Law
by J. Mislanovich Recently, the Eleventh Circuit ruled against MSPA Claims/MSP Recovery (MSPR) in MSP Recovery Claims, Series LLC v. United Auto. Ins. Co.[1], finding that the Medicare Secondary Payer...
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CMS Extends Timeline for Publication of Final Rule for Section 111 Civil Monetary Penalties by One Year
by B. Smith On the three year anniversary of the Section 111 Proposed Rule for Civil Monetary Penalties (CMPs) the Centers for Medicare & Medicaid Services (CMS) filed a notice...
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Eight Lessons Learned about MSP Compliance in 2022 (Part 2) – WorkCompWire
Co-CEOs Jon Gunter and Barbara Fairchild recently wrote a two-part article for WorkCompWire's Leaders Speak feature, Eight Lessons Learned about MSP Compliance in 2022, where they provide their insights...
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Eight Lessons Learned about MSP Compliance in 2022 (Part 1) – WorkCompWire
Co-Chief Executive Officers Barbara Fairchild and Jon Gunter recently wrote a two-part article for WorkCompWire's Leaders Speak feature, Eight Lessons Learned about MSP Compliance in 2022, where they provide...
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CMS Issues Memo on MSP Obligations When Settling Alleged Exposure Claims
by B. Smith On January 20, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a memo entitled Medicare Secondary Payer (MSP) Obligations and Settlements Related to Alleged Exposure...
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CMS Publishes NGHP User Guide Version 7.0
by F. Fairchok CMS published an update to the NGHP User Guide on January 9, 2023. In addition to several minor updates, Version 7.0 announced a new Unsolicited Response File...
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Medicare Advantage Plans: PAID ACT – Year One
by P. Czuprynski Carriers and self-insureds, or their vendors, have the ability to ask Medicare if a particular claimant is enrolled in Medicare benefits through either an electronic data request or...