MSP Compliance Blog

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

Towers’ VP of IT Jesse Shade on The Hot Seat

Posted on August 5, 2020 by Tower MSA

Jesse Shade, Tower’s Vice President of Information Technology, will be a panelist on the “Cybersecurity Threats: What You Can’t See Can Hurt You” webinar. Presented by as part of its The Hot Seat series, the free webinar starts at…

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PREMIER WEBINAR: Avoiding the Medicare Mandatory Reporting Penalty

Posted on June 29, 2020 by Tower MSA

Under the threat of up to a $1,000 per-day, per-claim penalty, most insurers and self-insurers have implemented processes to ensure Medicare beneficiary claimants are reported to Medicare per Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007…

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Best Practices for Cybersecurity

Posted on May 26, 2020 by Tower MSA

Did you know that personal health information (PHI) is more valuable on the black market than financial data?  This makes workers’ comp organizations very attractive targets for cyber criminals. “Payers and other workers’ compensation organizations need to guard this sensitive…

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Federal Court Rules on Plaintiff Refusal to Provide SSN

Posted on May 19, 2020 by Tower MSA

A federal magistrate judge got a full education in Section 111 Mandatory Insurer Reporting when a plaintiff refused to provide his Social Security Number (SSN) in a liability settlement with the State of Rhode Island. The April 27, 2020 Rhode…

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CMP Comments Submitted

Posted on April 27, 2020 by Tower MSA

On April 20, 2020, Tower MSA Partners responded to CMS’s request for comments on its proposed regulation for Section 111 Mandatory Insurer Reporting civil money penalties (CMPs).  Please see Tower’s Feb. 18 post on CMS’s proposal. Tower’s comments mirrored those…

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Tower Premier Webinar: A Prescription for Settling Legacy Claims

Posted on April 20, 2020 by Tower MSA

As claims age, the percentage of spend for prescription drugs increases.  Further, as claims age, the likelihood that the injured worker becomes a Medicare beneficiary as a result of age or disability increases.  The result, high prescription drug costs allocated…

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