MSP Compliance Blog

Expert summary, analysis and recommendations on issues impacting Medicare Secondary Payer compliance.

CMS to Hold Town Hall on Medicare Conditional Payment Matters

Posted on December 9, 2019 by Tower MSA

The Centers for Medicare and Medicaid Services (CMS) recently announced a town hall “to discuss common Commercial Repayment Center (CRC) NGHP ORM Recovery topics.”  The town hall will be held on Tuesday, January 14, 2020 (There is a typo in…

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Magic Number Remains $750 for Medicare Conditional Payment Recovery

Posted on December 3, 2019 by Tower MSA

In a 11/26/2019 Alert, the Centers for Medicare and Medicaid Services (CMS) announced that the 2020 recovery threshold for liability, no-fault and workers’ compensation settlements will remain at $750. Accordingly, Total Payment Obligations to the Claimant, TPOCs, in the amount of…

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Proposed Rules on LMSAs and Section 111 Penalties Again Delayed

Posted on November 25, 2019 by Tower MSA

Almost a year ago the U.S. Office of Management and Budget posted two rulemaking notices from the Centers for Medicare and Medicaid Services (CMS) entitled Civil Money Penalties and Medicare Secondary Payer Reporting Requirements and Miscellaneous Medicare Secondary Payer Clarifications…

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Get Measurably Better Results with Tower MSA Partners

Posted on October 28, 2019 by Tower MSA

Some employers, carriers and other payers think Medicare Set-Asides (MSAs) are all pretty much the same, a commodity.  A company calculates future medical expenses and sends a report with an allocation to the Centers for Medicare and Medicaid Services (CMS),…

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CMS Adds Electronic Submission Option for MSA Attestations

Posted on October 15, 2019 by Tower MSA

On October 7, 2019, the Centers for Medicare and Medicaid Services (CMS) released an updated Workers’ Compensation Medicare Set-Aside Portal (WCMSAP) User Guide (Version 5.9) which adds the capability for both MSA self and professional administrators to electronically submit annual…

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What Does Generic Lyrica Mean for MSAs?

Posted on July 31, 2019 by Tower MSA

On July 19, 2019, the Food and Drug Administration (FDA) approved multiple applications for the first generics of Lyrica (pregabalin). This follows the expiration of Pfizer’s patent on Lyrica at the end of June. The generic is expected to be…

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