CMS MAINTAINS $750 THRESHOLD




Section 202 of the SMART Act requires CMS to annually update its TPOC threshold for workers’ compensation, no fault, and liability cases. For the past two years, it has remained at $750 and CMS recently announced that it will maintain this amount through 2019. This means that if the settlement amount is $750 or below, the claim does not have to be reported per Section 111 and CMS will not insist on reimbursement of conditional payments. Additionally, CMS will host a webinar on 12/18/18 to discuss enhancements to the Medicare Secondary Payment Recovery Portal (MSPRP).


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