Written by: Mark Popolizio, J.D., VP of MSP Compliance & Policy Hello All: Hope everyone is well! I wanted to provide you with two new article releases regarding important conditional payment updates as follows: Medicare conditional payment round-up … CMS trends,...
By Shawn Johnson The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.0 (October 5, 2020). This new guide replaces Version 4.9 (July 13, 2020). As part of the...
By Shawn Johnson and Sid Wong On September 24th, the Centers for Medicare and Medicaid Services (CMS) and the Commercial Repayment Center (CRC) held a webinar session to address “redetermination” requests as part of the administrative appeals process regarding...
Earlier this year, we reported on several filings by MSP Recovery LLC which involved class action lawsuits against large insurance carriers/primary payers for double damages pursuant to the Medicare Secondary Payer (MSP) private cause of action. These lawsuits,...
An announcement has been posted which provides that CMS will host a CRC Non-Group Health Plan (NGHP) applicable plans appeals webinar on Thursday, September 24, 2020. The webinar will primarily focus on how parties can effectively submit redetermination (first-level...
In an opinion out of the United States District Court for the District of New Jersey, Osterbye v. United States, 2020 U.S. Dist. LEXIS 116591 (June 30, 2020), the Court denied Defendant Selective Insurance’s (Defendant) Motion to Dismiss Plaintiff’s suit and...
