Medicare Compliance

Evidence Based MSA’s… are they right for your claim?

September 8, 2021 Evidence based MSA’s are growing increasingly more popular in Workers’ Compensation settlements involving Medicare beneficiaries as they provide several benefits: Expediting the settlement process – While CMS has made great strides over the past 3-5 years in expediting the CMS review process, it is no longer the timeframe that provides the most hindrance…

Medicare Compliance

Preparing for Implementing the PAID Act

By Sam Crepeau – Medicare Compliance Counsel and Katie A. Fox, MSCC, CMSP – SVP Medicare Compliance August 10, 2021 Last month, the Centers for Medicare and Medicaid Services (CMS) hosted a town hall discussing implementation of the PAID Act, slated to go into effect December 11th, 2021. While there is much to be discussed…

Medicare Compliance

CMS Issues PAID Act Technical Alert

By Sam Crepeau & Stacy Piazza, ISG June 9, 2021 Today the Centers for Medicare and Medicaid Services (CMS) released a technical alert regarding the implementation of the PAID Act. As a refresher, the PAID Act (Provide Accurate Information Directly Act) was signed into law in December 2020 as a modification to the NGHP Section…

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…

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…