CMS will consider a proposed Medicare Set-Aside (MSA) when the Total Settlement Amount (TSA) exceeds the one of two review thresholds.

The Medicare Secondary Payer (MSP) Act provides that Medicare will make conditional payments for medical services when a primary plan has not made, or cannot reasonably be expected to make, payments for those services.

If you’ve got low back pain, you’re in good company.  Low back pain is the most common musculoskeletal condition in the adult population, with prevalence up to 84%.[1]  The use of advanced imaging (such as MRI) is dramatically on the rise, despite lack of evidence to support its benefit.

By now, most claims adjusters and attorneys involved in workers’ compensation and liability settlements are aware of the Medicare Secondary Payer Act (MSP Act) and the potential impact that it may have in certain settlements.

Please review the latest Caselaw pertaining to the MSP Act.

Medicare Part D plans likely to follow the trail blazed by Part C plans.

Welcome to the Spring 2018 edition of the Medicare Secondary Payer Compliance Corner.

On November 15, 2016, the Court of Appeals of North Carolina held that a Medicaid recipient’s Workers' Compensation Medicare Set-Aside (WCMSA) account was not a countable asset for determining Medicaid eligibility.