The Centers for Medicare and Medicaid Services (CMS) has been busy in 2023 with updates and changes …
Medicare Secondary Payer Update: What to Know Heading Into 2024Read More
Medicare Set Asides (MSAs)
When settling a claim make sure to consider any implications with Medicare Set-Asides. Medicare requires companies to fund future liabilities and there are fines for not doing so.
Section 111 Reporting Monetary Penalties Are Here
The long-awaited Section 111 Mandatory Insurer Reporting civil monetary penalties are on the …
MSP Manual Update Puts MSAs into Motion at Provider Level
A recent change to a Medicare Secondary Payer Manual brings Medicare Set-Asides into play for …
MSP Manual Update Puts MSAs into Motion at Provider LevelRead More
MD Law Firm Settles with DOJ for Failure to Reimburse Conditional Payments
In a recent publication, the U.S. Attorney’s Office for the District of Maryland has confirmed that …
MD Law Firm Settles with DOJ for Failure to Reimburse Conditional PaymentsRead More
Section 111 Civil Monetary Penalty Rulemaking is Delayed
Authored by: Ciara F. Koba, Esq., BSN Non-Group Health Plan reporting entities have been waiting …
Section 111 Civil Monetary Penalty Rulemaking is DelayedRead More
2023 MMSEA Section 111 Reporting Updates
CMS opened 2023 with a series of updates to the NGHP Section 111 User Guide. First, on January 9, a …
Social Security Disability, Medicare, and Medicaid; Oh My!
Federal government disability and medical insurance programs cause problems in settling workers’ …
Social Security Disability, Medicare, and Medicaid; Oh My!Read More
Preparing for the Final Rule: Section 111 Common Mistakes, Misconceptions and Mishaps
Ciara Koba, Esq. of Allan Koba and Bridget Smith, JD, MSCC, CMSP of IMPAXX discuss Section 111 …
Preparing for the Final Rule: Section 111 Common Mistakes, Misconceptions and MishapsRead More
Tips and Traps to Effective Medicare Secondary Payer Compliance
By now, almost every member of the claim management team knows about the dangers of Medicare in …
Tips and Traps to Effective Medicare Secondary Payer ComplianceRead More
Tips and Traps to Effective Medicare Secondary Payer Compliance
By now, almost every member of the claim management team knows about the dangers of Medicare in …
Tips and Traps to Effective Medicare Secondary Payer ComplianceRead More
Experts Explain How to Prevent Losing Continuation of Care Post-Settlement
Here’s a scenario; an injured individual settles their workers’ compensation claim. A Medicare …
Experts Explain How to Prevent Losing Continuation of Care Post-SettlementRead More
Medicare Secondary Payer Compliance Claim Handling Tips
The Medicare Secondary Payer Act has required members of the claim management team to add another …
Medicare Secondary Payer Compliance Claim Handling Tips Read More
Tips for Navigating the Evolving Medicare Set-Aside Landscape
OVERVIEW What will the future of Medicare Set-Asides look like? How are Medicare Set-Asides and …
Tips for Navigating the Evolving Medicare Set-Aside LandscapeRead More
Ensure an Individual’s Medicare Set Aside is Maintained Post-Settlement
Medicare Set Asides (MSAs) can be daunting. The issue of settling with one can be so confounding …
Ensure an Individual’s Medicare Set Aside is Maintained Post-SettlementRead More
You Have Your MSA Allocation Report – Now What?
Medicare Secondary Payer compliance remains a hot-button issue in many workers’ compensation …
The Devastating Risks of Failing to Comply with Medicare Requirements Post-Settlement
Temporary or permanent loss of Medicare benefits for injured workers and potential financial …
The Devastating Risks of Failing to Comply with Medicare Requirements Post-SettlementRead More
Medicare Secondary Payer Update: Time to Update your Compliance Program
Medicare Secondary Payer compliance plays an integral part in every workers’ compensation claim …
Medicare Secondary Payer Update: Time to Update your Compliance ProgramRead More
Medicare Secondary Payer: Issues that Will Impact Work Comp in 2021
Medicare Secondary Payer compliance will continue to be a challenge for the claim team members and …
Medicare Secondary Payer: Issues that Will Impact Work Comp in 2021Read More
Get a Second Opinion on Your Medicare Set-Aside (MSA)
Ever get close to settling a claim only to find the Medicare Set-Aside is a problem? Either the …
Get a Second Opinion on Your Medicare Set-Aside (MSA)Read More
Settle More Workers’ Compensation Claims During the COVID-19 Pandemic
The coronavirus pandemic has inspired many of us to take on do-it-yourself projects, especially …
Settle More Workers’ Compensation Claims During the COVID-19 PandemicRead More
