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Medicare Secondary Payer (MSP) Tips

Risk Managers, Claim Managers, Adjusters and Attorneys are all obligated to inform the injured Medicare Beneficiary about consideration of MSP rules and compliance during the claim settlement process.   What are the key considerations for these obligations in the discovery process? 

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CMS Updates Drug Dashboards

On March 14, 2019, the Centers for Medicare & Medicaid Services (CMS) updated its Drug Spending Dashboards with data for 2017.  CMS’s recent version of the drug dashboards adds information on the manufacturers that are responsible for price increases across Medicare Parts B and D and Medicaid.

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MSA RiskPro, a division of Blackburn Group, Inc., designs and creates Lien Verification and Negotiations, Medicare Set Asides (MSAs), Medicare Set Aside Trusts, Medicare Set Aside Accounts, Claim Management and Claim Settlement Solutions. We are recognized by A.M. Best Company as a Recommended Expert Service Provider in the Insurance, Claim Management and Financial industries.

MSA RiskPro.com was founded as a specialized Medicare Set-Aside (MSA) insurance claim settlement solutions professional service and product company to address the needs of Workers Compensation and Liability claims under the Centers for Medicare and Medicaid Service (CMS) requirements according to MMSEA Section 111 (MMSEA 111).

What is a Medicare Set Aside? Under Section 1862 42 U.S.C. §1395y(b)(2) and § 1862(b)(2)(A)(ii) of the Social Security Act, Medicare is not responsible for paying a qualified injured person’s medical expenses when payment “has been made or can reasonably be expected to be made under a workers’ compensation plan, an automobile or liability insurance policy or plan (including a self-insured plan), or under no-fault insurance.” If the medical expenses are disputed in a personal injury situation, the provider, physician, or other supplier may bill Medicare as the primary payer. If the product or service is normally reimbursable under Medicare rules, Medicare may pay the expenses conditionally. Then if there is a subsequent settlement, judgment, award, or other payment, Medicare requires reimbursement of the expenses. For more information about your unique situation, ask our experts!

Blackburn Group, Inc.   RiskPro® is a registered trademark of Blackburn Group, Inc.