Blog Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 NY Supreme Court Case Highlights the Importance of Settlement Language in Medicare Beneficiary Settlements Read More Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Key Takeaways from CMS’ “Go Paperless” Webinar Read More Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 CMS Hosts Webinar on WCMSAs; Confirms New Section 4.3 of the WCMSA Reference Guide on Non-Submit MSAs is not a new policy; CMS will Recognize Reasonable Non-Submit MSAs Read More Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 A Final Rule on Medicare Secondary Payer and Civil Monetary Penalties up to $1000 per day/per claim is Just 1 Year Away: Is Your Claims Organization Prepared? Read More Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 CMS Issues Updated WCMSA Reference Guide with New Section on Non-Submitted MSAs: Sanderson Firm Response and Commentary Read More Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 CMS Moving Toward Full Paperless? January Update to NGHP Section 111 Reporting User Guide Read More Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 CMS Clarifies Prior TPOC Alert in an Update to the NGHP User Guide Read More Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 February 2022 is the new target date for Rulemaking on MSP and Future Medicals: Will we have policy on Liability Medicare Set-Asides (LMSAs) in just 2 months? Read More Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 CMS Issues Alert Regarding Annual Recovery Thresholds; PAID Act is Now Effective Read More Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 WHOSE ADVANTAGE IS IT? Lack of Clarity Over Applicable Statutes of Limitation Creates Confusion Read More Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Why Timely Ongoing Responsibility for Medical (ORM) Termination is So Important in MMSEA Section 111 Reporting Read More Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 CMS Issues Alert Regarding Proper Reporting of Policy Limits in No-Fault Claims Read More Education & Certification, Medicare Set-Asides, CMS Updates Heather Sanderson 10/18/21 Education & Certification, Medicare Set-Asides, CMS Updates Heather Sanderson 10/18/21 Medicare Set-Asides and CMS Reconsideration Options and Navigating Medicare's Review Processes Read More Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 10/5/21 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 10/5/21 CMS Updates WCMSA Reference Guide and NGHP Section 111 Reporting User Guide Read More Section 111 Reporting, Caselaw, Medicare Set-Asides, CMS Updates Heather Sanderson 9/28/21 Section 111 Reporting, Caselaw, Medicare Set-Asides, CMS Updates Heather Sanderson 9/28/21 The Ambiguity Around Liability MSAs Continues; CMS to allow Section 111 Records to Accept Medicare Eligibility Effective Dates 3 Months in Advance Read More Section 111 Reporting, CMS Updates Heather Sanderson 9/13/21 Section 111 Reporting, CMS Updates Heather Sanderson 9/13/21 Highlights from CMS’ Second PAID Act Webinar Read More Section 111 Reporting, CMS Updates Sanderson Firm 8/12/21 Section 111 Reporting, CMS Updates Sanderson Firm 8/12/21 CMS Hosting Second PAID Act Webinar Read More CMS Updates Heather Sanderson 6/28/21 CMS Updates Heather Sanderson 6/28/21 Important Take-Aways from CMS’ PAID Act Webinar Read More CMS Updates Heather Sanderson 6/9/21 CMS Updates Heather Sanderson 6/9/21 PAID Act Technical Alert Issued Read More Conditional Payments, CMS Updates Heather Sanderson 2/8/21 Conditional Payments, CMS Updates Heather Sanderson 2/8/21 Medicare Advantage Conditional Payment Recoveries Poised to Become an Even Bigger Headache for Claims Payers Read More Newer Posts Older Posts
Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 NY Supreme Court Case Highlights the Importance of Settlement Language in Medicare Beneficiary Settlements Read More
Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Key Takeaways from CMS’ “Go Paperless” Webinar Read More
Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 CMS Hosts Webinar on WCMSAs; Confirms New Section 4.3 of the WCMSA Reference Guide on Non-Submit MSAs is not a new policy; CMS will Recognize Reasonable Non-Submit MSAs Read More
Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 A Final Rule on Medicare Secondary Payer and Civil Monetary Penalties up to $1000 per day/per claim is Just 1 Year Away: Is Your Claims Organization Prepared? Read More
Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 CMS Issues Updated WCMSA Reference Guide with New Section on Non-Submitted MSAs: Sanderson Firm Response and Commentary Read More
Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 CMS Moving Toward Full Paperless? January Update to NGHP Section 111 Reporting User Guide Read More
Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 CMS Clarifies Prior TPOC Alert in an Update to the NGHP User Guide Read More
Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 February 2022 is the new target date for Rulemaking on MSP and Future Medicals: Will we have policy on Liability Medicare Set-Asides (LMSAs) in just 2 months? Read More
Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 CMS Issues Alert Regarding Annual Recovery Thresholds; PAID Act is Now Effective Read More
Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 WHOSE ADVANTAGE IS IT? Lack of Clarity Over Applicable Statutes of Limitation Creates Confusion Read More
Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Why Timely Ongoing Responsibility for Medical (ORM) Termination is So Important in MMSEA Section 111 Reporting Read More
Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 CMS Issues Alert Regarding Proper Reporting of Policy Limits in No-Fault Claims Read More
Education & Certification, Medicare Set-Asides, CMS Updates Heather Sanderson 10/18/21 Education & Certification, Medicare Set-Asides, CMS Updates Heather Sanderson 10/18/21 Medicare Set-Asides and CMS Reconsideration Options and Navigating Medicare's Review Processes Read More
Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 10/5/21 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 10/5/21 CMS Updates WCMSA Reference Guide and NGHP Section 111 Reporting User Guide Read More
Section 111 Reporting, Caselaw, Medicare Set-Asides, CMS Updates Heather Sanderson 9/28/21 Section 111 Reporting, Caselaw, Medicare Set-Asides, CMS Updates Heather Sanderson 9/28/21 The Ambiguity Around Liability MSAs Continues; CMS to allow Section 111 Records to Accept Medicare Eligibility Effective Dates 3 Months in Advance Read More
Section 111 Reporting, CMS Updates Heather Sanderson 9/13/21 Section 111 Reporting, CMS Updates Heather Sanderson 9/13/21 Highlights from CMS’ Second PAID Act Webinar Read More
Section 111 Reporting, CMS Updates Sanderson Firm 8/12/21 Section 111 Reporting, CMS Updates Sanderson Firm 8/12/21 CMS Hosting Second PAID Act Webinar Read More
CMS Updates Heather Sanderson 6/28/21 CMS Updates Heather Sanderson 6/28/21 Important Take-Aways from CMS’ PAID Act Webinar Read More
CMS Updates Heather Sanderson 6/9/21 CMS Updates Heather Sanderson 6/9/21 PAID Act Technical Alert Issued Read More
Conditional Payments, CMS Updates Heather Sanderson 2/8/21 Conditional Payments, CMS Updates Heather Sanderson 2/8/21 Medicare Advantage Conditional Payment Recoveries Poised to Become an Even Bigger Headache for Claims Payers Read More
