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NEWS

9-26-2012

CDC publishes NVSR Vol 61 No 3. United States Life Tables, 2008


6-8-2012

TENS Unit Is No Longer Covered by Medicare for Lower Back Pain.

Decision Memo for Transcutaneous Electrical Nerve Stimulation for Chronic Low Back Pain (CAG-00429N)


6-31-2011

ALERT UPDATE: Issuance of the Demand letters is temporarily suspended - Review of the Rights and Responsibilities letter is complete

The Demand letter for liability insurance (including self-insurance), no-fault insurance and workers’ compensation has been temporarily suspended while this letter is under review. The MSPRC is still working cases, and Demand letters will be mailed out once this review is complete. Review of the Rights and Responsibilities letter (“RAR”) is complete. Issuance of the RAR is anticipated to resume on June 10, 2011. A copy of the revised RAR will be made available by that time on this website.


9-30-2010

Alert: MSPRC Mailing Addresses & Fax Number have changed

Group Health Plan (GHP) Inquires
(e.g. all GHP checks and inquires including Congressional, FOIA, Bankruptcy and QIC/ALJ)

MSPRC - GHP
P.O. Box 138856
Oklahoma City, OK 73113

Non-Group Health Plan (NGHP) Inquires
(e.g. all NGHP checks and inquires including Liability, No-Fault, Workers' Compensation, Congressional, FOIA, Bankruptcy, Liquidation Notices and QIC/ALJ)

MSPRC - NGHP
P.O. Box 138832
Oklahoma City, OK 73113

Special Project Inquires
(e.g. all Product Liability Case Inquires and Special Project Checks)

MSPRC - Special Projects
P.O. Box 138868
Oklahoma City, OK 73113

By Fax: 405-869-3309


2-22-2010

NGHP User Manual Version 3 Released

The Centers for Medicare & Medicaid Services (CMS) released the Non-Group Health Plan (NGHP) User Guide Version 3. A copy of the User Guide is available here.


2-16-2010

CMS advises all NGHP RREs the date for first production of NGHP Input Files is changed from April 1, 2010 to January 1, 2011, effective immediately.

  • NGHP File data exchange testing will continue.  All NGHP RREs should now be registered with the COBC, and either in or preparing for file testing status.  NGHP file data exchange testing may continue during 2010, as needed.
  • All NGHP file data exchange testing will be completed by December 31, 2010.  NGHP RREs that have completed file data exchange testing at any time are encouraged to proceed to production file data exchange status.

8-4-09

NGHP User Manual Version 2 Released

The Centers for Medicare & Medicaid Services (CMS) released the Non-Group Health Plan (NGHP) User Guide Version 2. A copy of the User Guide is available here.


7-31-09

CMS Alert

In addition to the recent publication of the NGHP User Guide, CMS recently released an Alert. This alert is a draft document, available for public comment, which provides additional detail regarding who/what entity is a MMSEA Section 111 Responsible Reporting Entity (RRE). The alert is available here.


7-23-09

CMS to Offer Web Portal for MSA Cases

In an effort to streamline the MSA process, CMS is attempting to offer a web-based portal by calendar year 2010. A copy is avaiable here.


2-10-09

CMS Releases "Introduction to Section 111 Mandatory Medicare Secondary Payer Reporting" Document

On February 10, 2009 CMS released a document entitled Introduction to Section 111 Mandatory Secondary Payer Reporting in regard to its continued implementation of Section 111 of the Medicare, Medicaid & SCHIP Extension Act (MMSEA).

The document provides basic background information regarding the Medicare program, the Medicare Secondary Payer Statute (MSP) and Section 111 of the MMSEA. CMS states that the purpose of the document is to address certain questions and issues "for those who are not familiar with the legislation, or how the legislation may affect them."

Full Document


CMS Provides Updated Interim Record Layout Information Regarding Mandatory Insurer Reporting

CMS has released an updated version of its Interim Record Layout for Liability Insurance (including Self-Insurance), No-Fault Insurance and Workers' Compensation on its Mandatory Insurer website. It provides information regarding the file layouts that will be used by entities responsible for complying with the reporting requirements at 42 U.S.C 1395y(b)(8).

Complete instructions and requirements will be published at a later date in the MMSEA Section 111 User Guide, which will be available at www.cms.hhs.gov/MandatoryInsRep when completed.

Full Document


9-11-08

Beverly Manley & Associates paralegal publishes new book

Rhetta Akamatsu, a paralegal in the office of Beverly Manley & Associates, has recently published a new book, T'ain't Nobody's Business If I Do: Women Blues Singers Old and New.

T'ain't Nobody's Business If I Do is currently available at Amazon.com and will soon be available at other online and offline bookstores.


8/25/2008

CMS publishes new policy memo concerning pricing of implantable devices.
See CMS Policy memos for complete memo.


10/26/2006

ANNOUNCEMENT OF OPENING OF WEST COAST OFFICE

Foothill Ranch, CA October 26, 2006   Beverly Manley & Associates, PC  today announced the opening of their West Coast office in Irvine, California.
Beverly Manley & Associates, PC is a legal and medical services firm focused on resolving Medicare Secondary Payer issues on behalf of insurance companies, third party administrators and self insured organizations.  The company’s home office is located in Atlanta, Georgia and provides Medicare Set Aside (MSA) Allocations, Life Care Planning and settlement resolution services.  They have been in operation since 1995.
“The MSA business is very competitive in the West, especially in California.  However, we expect to offer a more affordable, higher quality, and service oriented product than our competitors.  I’m confident we will develop a profitable niche business in the West,” says Beverly Manley, president of the company. 
The Western Division will be led by workers compensation veteran, Gus L. Ortiz . Mr. Ortiz has over 15 years experience as a top producer in the workers compensation insurance services market and previously served NuQuest. as Western Regional Sales Manager. In this newly created position, he will head up the western region sales effort, and assist in developing new territories as Beverly Manley & Associates, PC continues its rapid expansion. Ms. Manley said “Gus has an excellent reputation for integrity and for developing customer service oriented solutions in the workers compensation market. Beverly Manley & Associates, PC is a perfect match for his skills.”
Beverly Manley & Associates, P.C. is a leading national medical legal MSP compliance firm.


1/13/2006

Beverly Manley & Associates now offers a copy service.


1/3/2006

CMS officially publishes on December 30, 2005 a memo requiring prescription drug coverage to be included in WCMSAs as of January 1, 2006. 

Click here to view offical memo.






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