The Centers for Medicare & Medicaid Services (CMS) maintains a web portal called the Medicare Secondary Payer Recovery Portal (MSPRP) used by settling parties or other authorized persons to investigate and confirm the dollar amount of injury related medical expenses paid by Medicare. The Commercial Repayment Center (CRC) is responsible for recovery of mistaken NGHP […]

Last month, Republican Senator Rob Portman (OH) and Democratic Senator Bill Nelson (FL) introduced a revised version of the 2014 previously failed legislation that called for the application of Medicare secondary payers rules to certain workers’ compensation settlement agreements and qualified Medicare set-aside provisions. The new and revised legislation is now known as Senate Bill […]

On August 2nd we posted that CMS would be presenting a webinar providing information on the MSPRP. On August 16, 2018, CMS put forth that webinar to show the benefits of using the MSPRP.  The MSPRP is an online application that allows registered users to manage Medicare recovery cases or cases in which conditional payments are at […]

The Centers for Medicare & Medicaid Services (CMS) has recently issued a revised Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements (WCMSAs).  The latest version 1.2 was published on April 2, 2018.  The main purpose of this toolkit is to provide self-administering injured individuals a guideline on how to properly administer their funds.  The toolkit is vital to […]

On March 19, 2018, CMS announced a new Version 2.7 of the Workers’ Compensation Medicare Set-Aside Arrangement Reference Guide. The Reference Guide can be found here. Overall, there are no significant changes in the newest version.