Tower MSA: Medicare Revises Trigger to Report Ongoing Medical

Tower MSA Partners announced that the U.S. Centers for Medicare and Medicaid Services recently updated its user guide to clarify the trigger for reporting ongoing responsibility for medical care. Under old rules, payers were required to report ongoing responsibility for medical when the beneficiary was receiving medical treatment related to an injury or illness. The updated CMS Policy Guide requires the entity responsible for reporting payments to CMS to report ongoing responsibility for medical when it “learns, through normal due diligence, that the beneficiary received (or is re...