The Centers for Medicare and Medicaid Services (CMS) recently released updated user guides for Non-Group Health Plan MMSEA Section 111 Mandatory Insurer Reporting and the Medicare Secondary Payer Recovery Portal (MSPRP).  CMS also just announced an August webinar on Section…

Under the threat of up to a $1,000 per-day, per-claim penalty, most insurers and self-insurers have implemented processes to ensure Medicare beneficiary claimants are reported to Medicare per Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007…

CMS has recently issued two notices, one pertaining to Section 111 mandatory insurer reporting and one relevant to Medicare conditional payment recovery. First, in a “teaser” notice, CMS announced that on July 13, 2020 the Medicare Secondary Payer Recovery Portal…

“The older the claim, the higher the costs—especially for prescription drugs,” wrote WorkersCompensation.com’s Nancy Grover, in this excellent recap of A Prescription for Settling Legacy Claims webinar.  The May 19 webinar was presented by Dan Anders, Tower MSA Partners’ Chief…

Did you know that personal health information (PHI) is more valuable on the black market than financial data?  This makes workers’ comp organizations very attractive targets for cyber criminals. “Payers and other workers’ compensation organizations need to guard this sensitive…

A federal magistrate judge got a full education in Section 111 Mandatory Insurer Reporting when a plaintiff refused to provide his Social Security Number (SSN) in a liability settlement with the State of Rhode Island. The April 27, 2020 Rhode…

When Tower held its cybersecurity webinar in February, presenters stressed that cyberattacks increase dramatically during a crisis. This certainly holds true for COVID-19. Attacks soared by 330% in its early weeks, according to an Atlas VPN report. Workers’ compensation payers,…

On April 20, 2020, Tower MSA Partners responded to CMS’s request for comments on its proposed regulation for Section 111 Mandatory Insurer Reporting civil money penalties (CMPs).  Please see Tower’s Feb. 18 post on CMS’s proposal. Tower’s comments mirrored those…

As claims age, the percentage of spend for prescription drugs increases.  Further, as claims age, the likelihood that the injured worker becomes a Medicare beneficiary as a result of age or disability increases.  The result, high prescription drug costs allocated…

While the COVID-19 pandemic represents a new challenge, as a company that has faced its share of hurricanes, we made a seamless transition to working remotely while continuing to serve our partner clients. As our CEO, Rita Wilson recently related,…