Another Indication that a CMS Policy for LMSA Reviews is Imminent

CMS recently issued documentation signaling that Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) will be notated fields in CMS’ Common Working File (CWF). Effective October 1, 2017, Medicare Administrative Contractors (MACs) will begin...

CMS Requests Public Comments on MMSEA Penalties Through ANPRM

Today, CMS requested public comment through an Advanced Notice for Proposed Rulemaking (ANPRM) with regard to MMSEA Section 111 Penalties.  Earlier this year, President Barack Obama signed into law the SMART Act.  This law amended the Medicare Secondary Payer Act, and...

SMART Update – Roy Franco visits Office of Management & Budget

On September 20, 2013, CMS issued an interim proposed rule to begin its implication of the SMART law.  The new proposed regulation (42 C.F.R. §411.39  was published in the Federal Register and can be found at Vol. 78, No. 183 or simply click here.  No doubt, CMS has...

Features Added to the Medicare Secondary Payer Recovery Portal

A new feature has been added to the Medicare Secondary Payer Recovery Portal (MSPRP).  Beneficiaries are now able to generate an electronic Conditional Payment Letter (CPL) and to print or save it in .PDF format.  The electronic CPL will display the current...