The Centers for Medicare & Medicaid Services (CMS) has issued yet another abundantly clear signal that Medicare Secondary Payer (MSP) enforcement will be a priority in 2019. Just last week, we blogged that a Proposed Rule on a voluntary review process for...
Recently, CMS updated its Part D Manual to include specific changes to the Manual’s Medicare Secondary Payer (MSP) provisions. The updated manual can be found here. Page 40 now provides: “Part D sponsors are responsible for adjudicating enrollees’ claims in...
A recent Michigan state court ruling involving the Medicare Secondary Payer (MSP) Act has broad applications for the administration of worker’s compensation matters across the country. If this decision stands, then liability for Medicare conditional payments...
In a split decision, the 6th Circuit Court of Appeals recently held that Medicare’s right to be completely repaid for medical items and services related to a personal injury claim could not be decreased based upon principles of fault. See Hadden v. U.S., 2011 U.S....
Is the collateral source rule a defense to reimbursement to Medicare? No. At least that is the answer by a New Jersey Appellate Court in its decision that makes settlements, awards and judgments subject to reimbursement to Medicare under the Medicare Secondary Payer...
