Settlement reporting threshold of $750 remains for 2019 and Enhancements to the Medicare Secondary Payer Recovery Portal (MSPRP) Coming 1/7/2019.

On 11/15/2018, Medicare issued its annual recovery threshold calculation. This threshold determines the amount of settlement, judgement or award that must be reported to Medicare under the Section 111 reporting rules. For 2019, any settlement, judgement, award at or above $750.00 should be reported to Medicare through Section 111 reporting.  Medicare’s announcement can be found here.

Also, Medicare will be increasing the MSPRP’s functionality by allowing a party to self-report a workers’ compensation, liability or no-fault claims through the web portal. This option is projected to be available on 1/7/2019. Medicare is providing a webinar over this function 12/18/2018 at 1:00pm ET.  Medicare’s announcement and registration information can be found here.

We will keep you posted as more updates are available.

https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Non-Group-Health-Plan-Recovery/Downloads/Computation-of-Annual-Recovery-Thresholds-for-NGHP-%E2%80%93-2019.pdf

https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Downloads/MSPRP-Self-Reporting-Enhancement-Webinar-Announcement-%E2%80%93-Dec-18-2018-.pdf

 

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