The Centers for Medicare & Medicaid Services (CMS) has published its long-awaited final rule entitled “Medicare Program: Obtaining Final Medicare Secondary Payer Conditional Payment Amounts via Web Portal.” From the outset of litigation, a plaintiff who is a Medicare beneficiary (or his or her attorney) must report a pending claim to CMS.  This allows Medicare to determine the amount of any conditional payments made to or on behalf of the beneficiary related to the claims at issue for which it would be entitled to seek reimbursement. To date, this process has presented certain timing and other logistical challenges. CMS’ publication of this final rule offers involved parties a streamlined mechanism by which they can access Medicare Secondary Payer (MSP) conditional payment amounts, and it also provides a detailed timeline by which certain information must be communicated to CMS.
Continue Reading CMS’ Web Portal: Final Rule 21 CFR § 411.39 Promises Quick and Efficient Conditional Payment Resolution for Those Able to Abide by Its Strict Guidelines