On March 2, 2022, the Centers for Medicare and Medicaid Services (“CMS”) submitted a proposed rule on Medicare Secondary Payer and Future Medicals (CMS-6047) to the White House Office of Information and Regulatory Affairs (OIRA), which if adopted could have a game-changing impact on liability, and perhaps other types of cases throughout the country.
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Medical bills are often the ugliest part of a workers’ compensation settlement.
Two state insurance guarantee funds challenged CMS’ definition of a “primary plan” in order to exclude themselves from conditional payments and Section 111 reporting requirements.
I recently wrote about Section 111 Total Payment Obligation to Claimant (TPOC) reporting in bifurcated settlements.
The Medicare Secondary Payer Recovery Portal improvements were rolled out on July 13, 2020.
The Office of Management and Budget recently updated the timing for the release of the long-awaited proposed rule addressing liability, no-fault and workers’ compensation settlements.
The Centers for Medicare and Medicaid Services (CMS) recently released its long-awaited proposed rule for imposition of mandatory civil penalties to enforce the Mandatory Insurer Reporting program commonly known as “Section 111 Reporting.”
Medicare is a secondary payer when a primary payer is available and has a demonstrated responsibility to make payment.
The Centers for Medicare and Medicaid Services (CMS) just published version 3.0 of their Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide.
The Centers for Medicare and Medicaid Services (CMS) made two welcome announcements today that impact the Medicare Secondary Payer compliance community.