Downstream Actors May Have a Right to Reimbursement

Downstream Actors May Have a Right to Reimbursement

October 2, 2020 By Patrick Czuprynski Downstream Actors May Have a Right to Reimbursement: MSP Recovery Claims v. Ace Am. Ins. Co, 2020 U.S. Dist. Lexis 28610 In Ace, the U.S. Court of Appeals for Eleventh Circuit reversed a District Court’s decision and determined...
CMS Issues New Section 111 Alert

CMS Issues New Section 111 Alert

Jun 12, 2020 by Bridget Smith, JD CMS Issues New Section 111 Alert for Reporting No-Fault Insurance Limit on Non-Group Health Plan (NGHP) Claim Input Files In this Alert dated June 8, 2020, CMS  reminds Non-Group Health Plan (NGHP) Responsible Reporting Entities...
CMS Issues New WCMSA Reference Guide 3.1

CMS Issues New WCMSA Reference Guide 3.1

May 19, 2020 by Bridget Smith, JD CMS has released a new Workers’ Compensation Medicare Set-Aside Reference Guide, Version 3.1, May 11, 2020, COBR-Q2-2020-v3.1 a link to which can be found here:  https://www.cms.gov/files/document/wcmsa-reference-guide-version-31.pdf...
Pitfalls and Perils: The True Benefits of Self-Administration Support

Pitfalls and Perils: The True Benefits of Self-Administration Support

When parties choose to avail themselves of the CMS Workers’ Compensation Medicare Set-Aside (WCMSA) voluntary submission process and the claimant is left to self-administer the WCMSA funds, there is “happily ever after” assumption that follows.  The parties sometimes...
New CMS Updates on Telehealth

New CMS Updates on Telehealth

The Bridge Pointe Team hopes you and your families are safe and healthy during the COVID19 crisis.  We would like to share an update regarding telehealth and telemedicine. These services are now payable from your Medicare set aside accounts and your Medical custodial...