Medicare Secondary Payer Enhancement Act

SMART Act: Is Medicare Lien Resolution Smarter Now?

On January 10, 2013, President Obama signed H.R. 1845.  Included on the Medicare IVIG Access Bill is the SMART Act.  SMART was designed to reform the conditional payment, final demand, and MMSEA Section 111 reporting processes.  Click here to read the full text of H.R. 1845.  As you can see below, we aren’t as excited […]

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Medicare Secondary Payer Enhancement Act – Analysis & Potential Impact

Last week, I wrote about the Medicare Secondary Payer Enhancement Act (MSPEA), a bill proposed by two Pennsylvania congressmen.  This bipartisan bill has found the support of MARC, the Medicare Advocacy Recovery Coalition, and perhaps more important, the support of the American Association for Justice. There is no doubt Medicare reimbursement reform is necessary.  The […]

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Medicare: How to Read Conditional Payment Letters

The MSPRC timeframe for a Conditional Payment Letter is approximately 80 days after reporting to the COBC.  But remember, the MSPRC can change this timeframe whenever it sees fit, and may do so next week, during a MSPRC Webinar. The Conditional Payment Letter (“CPL”) appears daunting to many attorneys.  There are codes, lines, dates, and […]

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Medicare Secondary Payer Act to be Enhanced? Don’t Bet On It

The Medicare Secondary Payer Act (“MSPA”) was enacted in 1980.  Until 2007, it was a virtual ghost.  Many attorneys involved in personal injury cases either ignored the law or were unaware of it.  But Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (“MMSEA”) of 2007 changed all that.  So long as you haven’t […]

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