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....
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...