MSP Compliance Blog

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

Medicare Covers Acupuncture for Chronic Low Back Pain

Posted on February 6, 2020 by Tower MSA

After needling from the medical community, in a sharply written January 21, 2020 decision memo, the Centers for Medicare and Medicaid Services (CMS) got right to the point in announcing Medicare will now cover acupuncture for chronic low back pain. …

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How Do You Know Your MSP Compliance Data is Secure?

Posted on January 29, 2020 by Tower MSA

Understanding and Preventing Cybersecurity Threats February 19, 2 PM ET Minnesota Hospital Breach Impacts Personal and Medical Data of 50,000 Patients A Billion Medical Images Exposed, but Doctors Ignore Warnings Names, Social Security Numbers Exposed in Moss Adams Breach These…

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Tower’s Medicare Secondary Payer (MSP) Compliance Countdown

Posted on December 19, 2019 by Tower MSA

As we come to the end of 2019, put on your party hats, toot your horns and clink your champagne glasses, as we introduce Tower’s MSP Compliance Countdown.  The MSP Compliance Countdown provides a quick summary of, in our opinion,…

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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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