Medicare Secondary Payer Recovery Portal enhancements ease payment process

Enhancements to the Medicare Secondary Payer Recovery Portal (MSPRP) have been announced by CMS that address electronic payment capabilities for identified Non-Group Health Plan (NGHP) conditional payment debt. CMS publicized the enhancements during a March 13, 2019, webinar.

This welcome enhancement, effective April 1, 2019, is more efficient and expedient, as opposed to the current process of sending reimbursement checks via the mail. Additionally, the payments have more visibility with tracking to ensure the payment is accurately applied. No additional user access or authorizations are required.

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Brand medication increases and generics for release in 2019

As an established Medicare Secondary Payer (MSP) compliance services provider, one of our goals is to keep clients, and the property and casualty insurance industry, informed of changes affecting MSP compliance and Workers’ Compensation Medicare Set Asides (WCMSAs).

As part of our best business practices, we continually monitor the RED BOOK® Average Wholesale Price (AWP) changes of the most common medications in WCMSAs as well as generic medications that come to market. This practice assists in identifying price changes that affect WCMSAs.

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Medicare’s Coordination of Benefits Energizes Prescription Part D Plans to Recover Conditional Payments

Issue We have observed an increase in notices being provided to workers’ compensation, no-fault auto and premises coverages, liability insurers, and claimants in recent months requesting information so that coordination of benefits (COB) can occur for claimants who are current Medicare beneficiaries. In an effort to get to the bottom of the frequency of these … Read moreMedicare’s Coordination of Benefits Energizes Prescription Part D Plans to Recover Conditional Payments