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.
Caution: MSP Caselaw Ahead
6.12.2018
Blog
Please review the latest Caselaw pertaining to the MSP Act.
Medicare Part D Update
6.7.2018
Blog
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.
Shareholder Amy Bilton has been elected Vice President of the National Alliance for Medicare Set-Aside Professionals (NAMSAP).
Shareholder Amy Bilton and Partner Rasa Fumagalli contributed to the recent NAMSAP's letter to Congress which says the CMS's MSA policy institutionalizes opioid abuse.
Please join Nyhan, Bambrick, Kinzie & Lowry Shareholder Daniel Ugaste and Doctors of Physical Therapy VP of Industrial Services Dr. Cindy G. Rega for an informative seminar.
Members of the National Alliance of Medicare Set-Aside Professionals’ Evidence-Based Medicine Committee urged CMS representatives to use more sensible pharmacy allocations in Workers’ Compensation MSAs (WCMSAs) that have chronic opioid prescriptions.