Exciting news! We have launched the next generation of mynuquest.com. The website launch is part of an ongoing initiative to increase awareness of our large portfolio of service offerings. “As NuQuest offers much more than a traditional MSA product, we determined that it was time to better showcase our full portfolio,” said Tracey Lazzopina, CEO of NuQuest. […]
Cases & Points Blog
On March 18, 2019, the U.S. Attorney’s Office for the District of Maryland issued a press release announcing a settlement with the law firm Meyer, Rodbell & Rosenbaum, P.A. in the amount of $250,000 to resolve allegations that it failed to reimburse the United States for payments made to providers on behalf of a firm […]
CMS has now posted the Electronic Payment Enhancement Overview Webinar presentations which were held on March 13, 2019, for NGHP and March 14, 2019, for GHP. The presentations can be found in the Downloads section of the Coordination of Benefits & Recovery Overview What’s New page on CMS.gov.
Join us on Thursday, April 4th at 2:00 PM (EST) with Bridget Smith and Jennifer Shymanski for a comprehensive analysis of the new WCMSA Reference Guide Version 2.9. We will review the various additions and changes to the new Guide and the potential impact these may have on WCMSAs. Register here!
In published opinion filed on March 18, 2019, the United States Court of Appeals for the 11th Circuit affirmed the district court’s dismissal of MSPA Claims 1, LLC (MSPA) for failure to sue a “primary plan” pursuant the private cause of action provisions in the Medicare Secondary Payer Act (MSP Act). In MSPA Claims1, LLC […]
The March 13, 2019 webinar offered by CMS provided a description of the new direct payment features available through the Medicare Secondary Payer Recovery Portal (MSPRP) as of April 1, 2019. CMS will be releasing presentation slides within five (5) to seven (7) days and will also be releasing the audio recording thereafter. Some of […]
CMS will be hosting two webinars to review the addition of a new electronic payment option that will be added to the Medicare Secondary Recovery Portal (MSPRP) and the Commercial Repayment Portal (CRCP) effective April 1, 2019. The webinars will include opening remarks followed by a presentation on the new electronic payment functionality. The MSPRP […]
In February of 2018, we saw a new contractor operating Medicare’s Commercial Repayment Center (CRC), Performant Financial Corporation. As expected, there were growing pains or learning curves experienced with the new operator, such as: inappropriate referrals to U.S. Treasury for collection, letters of authorization inappropriately denied, statement of reimbursement forms not matching decision letters and […]
With the issuance of updated Workers’ Compensation Medicare Set-Aside Reference Guide version 2.9 (Guide), there has some speculation and even confusion as to what is really new and what is an elaboration of old policies and procedures. Examples listed for off-label drug usage to new bullets added regarding the submission process, all of which begs […]
The Centers for Medicare and Medicaid Services issued a revised WCMSA Reference Guide (Reference Guide), Version 2.9, which can be found here: WCMSA Reference Guide. In addition to changes to development and alert templates; references to removal of certain memorandum from cms.gov; and reference to the updated CDC Life Table, the Reference Guide also includes updates […]