Going Down The Rabbit Hole Post Settlement: What Can Medicare Do?

Going Down The Rabbit Hole Post Settlement: What Can Medicare Do?

By P. Czuprynski The Medicare Secondary Payer Act (MSP) identifies Medicare is supposed to be second in line for payment if there is a non-group health plan that covers a certain date of incident or claimed medical expenses (i.e. workers’ compensation, liability or...
CMS Releases Updated WCMSA Reference Guide 3.3

CMS Releases Updated WCMSA Reference Guide 3.3

By B. Smith CMS has released a new version of the Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide, 3.3, COBR-Q2-2021-v3.3 dated April 19, 2021. The new Guide includes additional language regarding the calculation of the seed money for structured...
Updated Section 111 NGHP Model Language

Updated Section 111 NGHP Model Language

By B. Smith CMS has released an updated Section 111 Model Language form to assist Responsible Reporting Entities (RREs) in obtaining critical information needed to determine claimants’ Medicare eligibility status.   A copy of this form can be found here.  This form...
Medicare Set-Aside Administration Questions and Answers

Medicare Set-Aside Administration Questions and Answers

Written by B. Smith The administration of a Medicare Set-Aside and the requirements for proper administration can sometimes be unclear and confusing.  Below is a list of frequently asked questions and answers to assist the parties in better understanding this process....