Regarding Medicare Secondary Payer and Certain Civil Money Penalties By now you have heard about the October 11, 2023, Final Rule regarding Medicare Secondary Payer, and Certain Civil Money Penalties, in development since January 2013. CMS received 34 comments in response to the December 2013… Read More »Final Rule
Medicare Secondary Payer (MSP) Civil Money Penalties (CMP) Recent Medicare Secondary Payer Final Rule update draws attention to the importance of ensuring that Medicare Section 111 (SCHIP) Reporting is identifying all claims involving Medicare Beneficiaries are reported quarterly as required. Recently, the Office of management… Read More »Final Rule Update
On May 16, 2023, CMS Announced its updated Version 3.9 of the Workers Compensation Medicare Set-Aside Arrangements (WCMSA) Reference Guide available to download at Workers’ Compensation Medicare Set Aside Arrangements. We bullet point the changes in this latest version as follows: In this section CMS… Read More »CMS Announces Updates to Medicare Secondary Payer Compliance in April/May 2023
On April 1, 2020, Care Bridge International, a data analytics corporation, announced in a Press Release, the launch of its FREE Analytic-Powered COVID-19 Calculator. The calculator was designed to function like a simple mortgage calculator to estimate the true exposure of medical treatment and costs… Read More »How 2022 Proved Care Bridge International’s Accuracy In Medical Exposure Predictions
Using the POWER of DATA for Accuracy in Compliance Are you frustrated with Medicare Set Aside results? Do MSAs often preclude settlement? We randomly polled carriers, third party administrators, self- insured employers, and state / mutual funds in 2016 and out of 36 respondents,… Read More »Analytic-Powered Medicare Set Asides:
Centers for Medicare and Medicaid (CMS) Townhall at WCI: A Summary Brief In case you missed Workers Compensation Institute’s 76th Annual Education Conference in Orlando, August 21-24, there was an interesting panel discussion with leaders from the Division of MSP Program Operations at CMS including… Read More »The Right Solution at the Right Time
There’s no denying it. Summer is in the air! The days and weeks ahead of family vacations, weekend getaways, or just enjoying a good book on a beach with the sound of lapping waves to keep you company are fast approaching. We have just one… Read More »Are YOUR CLAIMS Ready for Your Summer Break?
Last week, we spoke about the lack of transparency and compliance with Medicare Secondary Payer (MSP) in the Property & Casualty claims environment, and the reasons for that. Did you also know that despite all the “pats on the back” for underwriting profitability with… Read More »Your Workers Compensation Program Has a Claim Problem
Do your claim professionals recognize a claim involving a Medicare Beneficiary in 2022? Do they understand the full scope of Medicare’s regulatory requirements to consider at the time of settlement? Do your claim professionals recognize the monetary and reputational risk involved if they fail to… Read More »Are You at RISK of Medicare Secondary Payer NON-Compliance in 2022?
Last week was my first time stepping back on stage for over two years. This time it was with the Reuters team at Insurance AI and Innovative Tech USA 2022. Stepping back out from behind the camera and into the more traditional role of an… Read More »Reuters, AI & Analytics USA - Stepping into The (Un)known