How to Achieve Medicare Secondary Payer Compliance

Take Control of Your Insurance Settlements With A Brand New Resource From LexisNexis! There are many people who don’t understand that the Centers for Medicare and Medicaid Services’ (“CMS”) approval process of a Medicare set-aside arrangement (“MSA”) is voluntary...

2011 Alphabet Soup: MSA, CMS, WCMSA, MSPRC, COBC, C&R, RRE, ORM, TPOC, EIEIO - The Latest in Medicare, Social Security and Your Large C&R in California

By Robert G. Rassp, Esq. Yes, so, the last one is a joke – Old MacDonald had a farm… We have recently traveled all over the country talking about and listening to the effect CMS has had on all of the stakeholders in the entire workers’ compensation community and not just in California...

Medicare, Medicaid, and SCHIP Extension Act (MMSEA) Section 111 Reporting: Identifying Reporting Triggers – 2011 Updates

It is important to be familiar with the criteria for reporting to avoid being late in adhering to the MMSEA Section 111 requirements. The determination of whether to submit a claim is dictated by two criteria, both of which must be met to require reporting: 1. The claimant is Medicare-entitled; and...

Medicare, Medicaid, and SCHIP Extension Act (MMSEA) Section 111 Reporting: Identifying Reporting Triggers – 2011 Updates

It is important to be familiar with the criteria for reporting to avoid being late in adhering to the MMSEA Section 111 requirements. The determination of whether to submit a claim is dictated by two criteria, both of which must be met to require reporting: 1. The claimant is Medicare-entitled; and...

Determining Medicare Status - Assessing CMS’ Query Process System in the Bigger Picture of MSP Compliance

By Mark Popolizio, Esquire, Section 111 Senior Legal Counsel, Crowe Paradis Services Corporation Determining a claimant’s Medicare status is an integral part in evaluating one’s compliance obligations under the Medicare Secondary Payer Statute (MSP). When a claimant is identified as a...

Determining Medicare Status - Assessing CMS’ Query Process System in the Bigger Picture of MSP Compliance

By Mark Popolizio, Esquire, Section 111 Senior Legal Counsel, Crowe Paradis Services Corporation Determining a claimant’s Medicare status is an integral part in evaluating one’s compliance obligations under the Medicare Secondary Payer Statute (MSP). When a claimant is identified as a Medicare...

Court Rules That State Bar’s Professional Liability Fund Is NOT Subject to MMSEA Reporting

By: Mark Popolizio, Esquire, Crowe Paradis Services Corporation In the case of Oregon State Bar Professional Liability Fund v. United States Department of Health and Human Services & Kathleen Sebelius , 2012 U.S. Dist. Lexis 43790 (D. Oregon, March 29, 2012) the court (Marco Antonio Hernandez,...

National and State-by-State Workers' Comp News Roundup: Powered by Larson's (7/9/2012)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL NEWS: Robert Hartwig, Insurance Information Institute, Discusses Impact of ACA on Insurance Industry . CMS...