On February 18, 2014, CMS’s Financial Services Group announced in an Alert an important change in the reporting threshold for certain liability settlements, judgments awards or other payments required by Section 202 of the Strengthening … [Read more...] about MSP Reporting Threshold Change – 2/18/2014
Medicare Secondary Payer Program
Medicare Secondary Payer: Web Portal to Collect Data on Conditional Payment Amounts and Claims Detail
The Medicare Secondary Payer (MSP) program is designed to reduce costs to the Medicare program by requiring other insurers of health care for beneficiaries to pay primary to Medicare. It applies in three situations: where there is liability … [Read more...] about Medicare Secondary Payer: Web Portal to Collect Data on Conditional Payment Amounts and Claims Detail
New CMS Website: Medicare Secondary Payer Conditional Payment Information
On January 10, 2013, President Obama signed legislation for the establishment of a website to provide information to beneficiaries about their Medicare Secondary Payer (MSP) obligations.[1] While there are exceptions, Medicare generally expects … [Read more...] about New CMS Website: Medicare Secondary Payer Conditional Payment Information
Medicare Secondary Payer (MSP) Program: Proposed Rules for the Treatment of Funds Intended for Future Medical Expenses
Advocates have long awaited clarification from the Centers for Medicare & Medicaid Services (CMS) about its rules and procedures for the treatment of future medical expenses related to an accident or injury for which there is third party … [Read more...] about Medicare Secondary Payer (MSP) Program: Proposed Rules for the Treatment of Funds Intended for Future Medical Expenses
CMS Revises Its Medicare Secondary Payer Collection Letters Following Haro v. Sebelius Decision
The Medicare Secondary Payer (MSP) program authorizes the Centers for Medicare & Medicaid Services (CMS) to recover compensation payments from beneficiaries who have private insurance that should be primarily responsible for their medical … [Read more...] about CMS Revises Its Medicare Secondary Payer Collection Letters Following Haro v. Sebelius Decision
Medicare Secondary Payer Practices that Harm Medicare Beneficiaries
A group of organizations has identified collection practices in the Medicare Secondary Payer (MSP) program that are unnecessarily harmful to beneficiaries. On April 28, 2011, the Center for Medicare Advocacy, together with the American Bar … [Read more...] about Medicare Secondary Payer Practices that Harm Medicare Beneficiaries
Medicare Secondary Payer Collection Requirements for Insurers Threaten Beneficiary Rights
The Medicare Secondary Payer (MSP) program seeks to conserve funds by prohibiting Medicare payment for health care that could be covered by another insurer. Thus, when a Medicare beneficiary experiences an injury that might be covered by liability, … [Read more...] about Medicare Secondary Payer Collection Requirements for Insurers Threaten Beneficiary Rights
Limits on Medicare’s Recovery Health Care Payments When the Beneficiary Has Liabaility or Workers’ Compensation Insurance
The Medicare Secondary Payer (MSP) law was enacted by Congress to assure that Medicare does not pay for medical expenses that could be covered by private insurance. When beneficiaries are injured, Medicare will pay for care related to the injury if … [Read more...] about Limits on Medicare’s Recovery Health Care Payments When the Beneficiary Has Liabaility or Workers’ Compensation Insurance