MSP Debate Still Heating Up


It’s a law that’s been on the books just shy of 30 years, but is still being hotly discussed and interpreted in jurisdictions across the country. “This is not a new law, but it is a law that’s been honored in the breach, largely, since 12/5/80,” says the federal prosecutor in Buffalo who oversees enforcement […]

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Medicare Reporting Rules Require Further Alterations


This past March, important legislation was introduced in Congress that will change how Medicare Secondary Payer claims can be handled and managed.  Read more here.

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MARC Coalition Supports Medicare Secondary Payer Enhancement Act (MSPEA)/H.R. 4796


WASHINGTON, DC – The Medicare Advocacy Recovery Coalition (MARC) today announced its support for HR 4796, the Medicare Secondary Payer Enhancement Act of 2010. Introduced by Congressman Patrick Murphy (D-PA) and Congressman Tim Murphy (R-PA), the bill supports the government‟s need to be reimbursed for Medicare expenses while streamlining the payment process and providing all […]

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MARC Coalition Applauds Agency’s Alert Regarding Delay in Data Exchange Deadline


WASHINGTON, DC – The Medicare Advocacy Recovery Coalition (MARC) today applauds the Centers for Medicare and Medicaid Services CMS, for their decision to defer the reporting deadline for Section 111 MMSEA Mandatory Insurer Reporting. The industry has been working diligently to build in infrastructure to supply data to CMS, investing millions of dollars to ensure […]

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Insurers Plea to Health Secretary: Call Off April 1 MSP Deadline


A trio of insurance industry trade groups are pressing the Secretary of Health and Human Services to put off an April 1 start date for mandatory reporting of Medicare Secondary Payer (MSP) information, a program designed to reduce the likelihood of medical costs being shifted to the federal government.  “Despite our best efforts and those […]

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How Medicare Secondary Payer Law Works


The Medicare Secondary Payer law essentially allows the U.S. government to recover reimbursement from insurers and self-insured plans that are legally required to the primary source of payment of medical care for individuals eligible for Medicare who settle a liability claim According to the Code of Federal Regulations, 42 CFR 411.25, the parties also are […]

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Medicare Gets Aggressive in Drive to Recoup Medical Costs


The U.S. government’s first-of-its-kind lawsuit against all parties that settled a pollution liability case signals Medicare’s aggressive push to make sure it does not pay medical expenses when others are to be the primary sources of payment, observers say.  The suit filed Dec. 1, 2009, cites Medicare Secondary Payer provisions in federal law that allow […]

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Secondary Payer Law Creates Challenges


Failure to comply with the Medicare, Medicaid and SCHIP Extension Act of 2007 and the Medicare Secondary Payer Act could be costly for all parties involved in litigation or claims filed by Medicare beneficiaries, says Iman Soliman, an attorney with law firm Bowman and Brooke L.L.P. in Phoenix. Those potentially affected should see the Centers […]

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If you are a Medicare beneficiary and any of these issues occurred with your Medicare claim, please tell us your story.  Your personal experience will help MARC advocate for positive change and seek much needed MSP reform on Capitol Hill. We will not use your identifying information without your consent.