A Holiday Present from CMS

Marty Cassavoy

Foreshadowing a major change to Medicare Set-Asides (MSAs), the Centers for Medicare & Medicaid Services (CMS) announced on Wednesday, December 21, that it would unveil new policies in 2017 regarding re-review of MSAs and the use of utilization review in MSAs. The CMS announcement suggests that parties may soon be afforded a second bite of […]

Zero Allocations: CMS backs down from drastic changes

Marty Cassavoy

As we outlined in a blog post last week, there’s been a lot of buzz surrounding the Centers for Medicare & Medicaid Services’ (CMS) approval of zero allocations. From the moment CMS proposed changes to the process, we outlined why we strongly believe that the workers compensation industry should not stand idly by while wholesale […]

CMS News Alert: Zero allocations are far from over

Martin-Cassavoy

The Centers for Medicare and Medicaid Services (CMS) made news this week by purportedly “correcting” their position on zero allocations. At ISO Claims Partners, we strongly believe that the industry should fight CMS on this and not blindly accept what amounts to an illogical application of CMS’s own stated policies. Background CMS’s purported position basically […]

CMS Updates Medicare Secondary Payer Recovery Portal

Sean Deane

On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide. A link to the guide (Version 3.5) can be found here. As many of our readers know, one of the key issues stemming from the transition of a […]

The Impact of Medicare Advantage Plans on Your Claims: The Risk of Double Damages and Summary Judgment

Kate Riordan-140

As outlined in our previous blog post, the 11th Circuit Court in a 2-to-1 decision joined the Third Circuit in finding that Medicare Advantage Plans do have private cause of action rights under the Medicare Secondary Payer (MSP) statute. The decision will have a significant impact on liability, workers compensation, and no-fault claims being handled […]