Our Insights

CMS has started off 2021 with a bang. As we have seen over recent months, CMS has been rapidly updating the NGHP Section 111 User Guide, releasing version 6.0 on Oct. 5, 2020 quickly followed by version 6.1 on November 10, 2020, and now version 6.2 in January. Unlike some past iterations of the User […]

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 that they are treating upon […]

On October 5, 2020 CMS issued an updated version of the of the MMSEA Section 111 NGHP User Guide. The latest version of the User Guide, version 6.0, clarifies the computation of TPOC amounts, confirms the fact that indemnity-only settlements do not need to be reported, and provides an updated list of excluded ICD codes […]

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 Dismiss claims arising under […]