Medicare Compliance

MSAs in the Time of Covid-19

Joanne McCulloch, RN, CCM, MSCC, LNC May 17, 2021 While the long-term effects of Covid-19 are still unknown, one year later, we are looking at the potential need for Medicare Set-Asides (MSAs) in the Worker’s Compensation claims area. Does the condition of Covid-19 qualify as “work related “or “occupational”? That may depend on the type…

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Medicare Compliance

Medicare Secondary Payer Litigation Roundup

Sam Crepeau, Medicare Compliance Counsel, ISG May 12, 2021 Two recent federal court decisions weighed in on how Medicare’s Secondary Payer (MSP) provision applies in different but important contexts. They illustrate MSP law continues the present challenges to insurers, the judiciary, plan administrators and Medicare beneficiaries. While clarity around the interpretation of the law is…

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Medicare Compliance

CMS Announces Benefits Coordination & Recovery Center (BCRC) And Commercial Repayment Center (CRC) Group Health Plan Town Hall To Be Held May 19th

Sam Crepeau – Medicare Compliance Counsel, ISG April 27, 2021 CMS has announced that it will be hosting another town hall presented by representatives from the BCRC and CRC to cover Group-Health Plan (GHP) topics on May 19th at 1:00PM est. The announcement (which can be found here) has no particular agenda of topics to…

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Medicare Compliance

CMS to host NGHP town hall on April 1st

Sam Crepeau, Medicare Compliance Counsel, ISG The Centers for Medicare and Medicaid Services (CMS) announced last week they will be hosting a Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) town hall on April 1, 2021, at 1:00 p.m. ET. CMS has not provided an agenda for the…

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Medicare Compliance

Medicare Conditional Payments – Food for Thought

Sam Crepeau, Medicare Compliance Counsel, ISG Sherrie Villa, Recovery Specialist What are Conditional Payments? It is important that an injured person, regardless of claim type, receive prompt medical attention and treatment. The medical provider, for a variety of reasons may be unaware of the underlying claim, thus the bills end up being sent to and…

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