Three Medicare Secondary Payer (MSP) Predictions for 2021
Posted on January 14, 2021 by Daniel Anders
We take a look at what’s in the crystal ball for Medicare Secondary Payer (MSP) short-term issues in the year ahead. This year marks the 20th anniversary of the famous —or infamous, depending on your perspective— “Patel Memo” that formally launched…
TOWER PUBLISHES WHITE PAPER THAT EXPLORES LIABILITY MSAS
Posted on September 26, 2018 by Tower MSA Partners
“Lawyers are concerned that CMS may seek reimbursement from attorneys, injured parties and even insurers—or simply deny payment for injury-related medical care,” said Dan Anders, Tower’s Chief Compliance Officer. “Navigating through the Fog: Medicare, Future Medicals & Liability Settlements” recaps…
Tower Publishes White Paper on Medicare and Future Medical Considerations in Liability Settlements
Posted on September 12, 2018 by Daniel Anders
CMS has signaled its intent to expand its voluntary WCMSA review program to liability. While a liability review policy has yet to be announced, CMS has made clear it expects the burden of post-settlement medicals should not be shifted to…
NAMSAP Bulletin Highlights Meeting with CMS on Liability MSA Reviews
Posted on August 16, 2018 by Daniel Anders
Recently, the National Alliance of Medicare Set-Aside Professionals (NAMSAP) released a Special Edition Bulletin providing insight into a meeting between CMS and NAMSAP representatives on the topic of the planned expansion of the Workers’ Compensation MSA review process to liability…
CMS Releases Statement Regarding Stakeholder Input in Liability MSA Review Process
Posted on October 27, 2017 by Daniel Anders
CMS issued the following brief statement on their website this week: The Centers for Medicare and Medicaid Services (CMS) continues to consider expanding its voluntary Medicare Set-Aside Arrangements (MSA) review process to include liability insurance (including self-insurance) and no-fault insurance…
CMS MSA Review Expansion to Liability Planned for 2018
Posted on January 4, 2017 by Daniel Anders
We are not even a week into 2017, but already have news to share regarding Medicare’s planned expansion of its Workers’ Compensation MSA review process to liability in 2018. In its recently released Request for Proposal for the Workers Compensation…
CMS Technical Alert Confirms $750 Threshold for Liability, WC and No-Fault TPOC Reporting
Posted on December 13, 2016 by Daniel Anders
In a 12/12/2016 Technical Alert, the Centers for Medicare and Medicaid Services (CMS) confirmed their prior policy announcements concerning the implementation of a $750 threshold for the reporting of Total Payment Obligation to the Claimant (TPOC) through the Section 111…
CMS to ‘Consider’ Expanding Its Review Process to Include Liability MSAs
Posted on June 10, 2016 by Rita Wilson
In a News Alert released Thursday, June 9, 2016, the Centers for Medicare and Medicaid Services (CMS) announced is considering expanding its voluntary Medicare Set-Aside Arrangements (MSA) amount review process to include the review of proposed liability insurance (including self-insurance) and…
CMS Proposes Regulations Addressing Future Medicals in Liability Settlements
Posted on May 23, 2012 by Tower MSA Partners
While text of the proposed rules have not yet been released, it appears that CMS has developed regulations that will ‘advise’ that parties must determine whether an allocation for future medicals exists within a gross liability award, and then document those…
Medicare Set-Asides and Third-Party Liability
Posted on November 11, 2011 by Tower MSA Partners
The following legal judgements relate to Medicare Set-Asides and Third-Party Liability Hinsinger v. Showboat Atlantic City, 420 N.J. Super. 15, 18 A.3d 229 (N.J. Super Ct. Law Div. 2011) In Hinsinger, the New Jersey court applied the same standard to…
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