Sam Crepeau, Medicare Compliance Counsel, ISG Katie A. Fox, EVP Medicare Compliance, ISG In December 2020, the PAID Act was signed into law. As the most recent modification to the federal Medicare statute, the act requires CMS to provide Medicare Advantage (MA) Plan information when a claimant is queried for their Medicare beneficiary status. The…
Joanne McCulloch, RN, CCM, MSCC ISG Katie A. Fox, MSCC, CMSP ISG With all of 2020 focused on the Coronavirus and now in 2021 with the vaccine, we have witnessed changes to our healthcare system in the US. One of these changes has been the shift from face-to-face provider visits to telehealth visits. Patients are…
Sam Crepeau, Medicare Compliance Counsel, ISG. Despite all the upheaval 2020 brought, CMS was unusually busy updating MSP policy with several updates to the NGHP Section 111 User Guides in the waning months of 2020. In keeping with this trend into 2021, CMS recently released another update to the User Guide with significant updates for…
Sam Crepeau, Medicare Compliance Counsel, ISG. Although the specter of CMS imposing Civil Monetary Penalties (CMPs) for Section 111 non-compliance has haunted the MSP landscape since 2007, the intervening time has given all the players an opportunity to launch their respective compliance programs. Now that CMS has issued its Proposed Rule and we await the…