As we had blogged on just last week, today CMS officially published its Proposed Rule on “Medicare Secondary Payer and Certain Civil Monetary Penalties.” The link to the published Proposed Rule in the Federal Register can be found here. Additionally, CMS’ Fact Sheet...
CMS has released an updated Non-Group Health Plan (NGHP) User Guide version 5.3. It can be found here. The primary change to the User Guide involves detailing CMS’ transition with its Social Security Number Removal Initiative (SSNRI) and how this transition will...
In a decision out of the Superior Court of Connecticut, Silver v. Miliford Medical Center Associates, 2017 Conn. Super. LEXIS 899 (May 11, 2017), a defendant medical provider filed a motion to compel the Plaintiff to respond to supplemental discovery so that its...
CMS continued its series of webinars on September 17th introducing the CRC to the industry and explaining how it will impact conditional payment recovery processes. Previously we blogged on the last CMS webinar, but there were additional helpful clarifications in...
The Casualty Actuarial Society (CAS) Committee on Health Care Issues recently analyzed ten cases to estimate the future impact of Medicare Secondary Payer reporting requirements to the P&C industry. The CAS study was published in an article in Claims Journal....