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Medicare Set-Aside

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Wait for it … Again: LMSA Rules in October?

June 2021

Wait for it … Again: LMSA Rules in October?

Author: Michelle Allan, Esq. In yet another push into the future, the Office of Information and Regulatory Affairs (OIRA) Dashboard today indicates that any possible Notice of Proposed Rulemaking regarding Medicare Secondary Payer and Future Medicals (CMS-6047) will not occur until October of 2021, at least. This proposed rule, believed to set possible parameters for Liability and No-Fault […]

MSP Admissions Questionnaire and impact on the MSP system overall

December 2020

MSP Admissions Questionnaire and impact on the MSP system overall

Author: Ciara Koba and Melanie Schafer On September 15, 2020, the Centers for Medicare and Medicaid Services (CMS) published changes to the MSP Admissions Questionnaire found in the previous manual.  The changes went into effect on December 7, 2020, and they are designed to modify and streamline the questions that providers should be asking Medicare beneficiaries […]

Double the Damages, Double the Motion, Double the Denial

October 2020

Double the Damages, Double the Motion, Double the Denial

Author: Melanie Schafer, Compliance Manager Double the Damages, Double the Motion, Double the Denial: MSP Double Damages action to continue despite SoL and settlement release arguments The United States District Court for the District of New Jersey in Osterbye v. United States, 2020 U.S. Dist. LEXIS 116591 (June 30, 2020) recently denied a carrier’s Motion to […]