Welcome to the Spring 2020 edition of the Medicare Secondary Payer Compliance Corner.
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The family of a Walmart, Inc. employee in Illinois, who died due to complications from COVID-19, has filed a lawsuit in Cook County Circuit Court accusing the retail giant of failing to adequately screen and protect workers.
Version 3.0 of the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide was published by Centers for Medicare and Medicaid Services (CMS) on October 10, 2019.
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.”
By now, most of our readers are familiar with the Mandatory Insurer Reporting statute, commonly called “Section 111 Reporting,” because it originated in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007.
Medicare is a secondary payer when a primary payer is available and has a demonstrated responsibility to make payment.
Medicare exposure can be significantly impacted by claim decisions made early in the handling of a workers’ compensation case.
This Ask Amy topic comes from one of my workers’ compensation cases.
Welcome to the Winter 2020 edition of the Medicare Secondary Payer Compliance Corner.
Today, CMS announced two town hall meetings taking place on January 14, 2020, to discuss topics related to recovery processes of the Commercial Repayment Center (CRC), the branch of CRC responsible for collecting reimbursement of Medicare conditional payments from insurance carriers and self-insured entities.