NAMSAP Quarterly Newsletter 
Volume 7, Number 3                                                                                           October 2015
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President's Message
By:  Kimberly A. Wiswell
President, 2015
       Director of Operations, MEDVAL
We're almost three weeks past our Annual Meeting which took place in New Orleans this year. I wanted to extend our thanks and appreciation to everyone who was able to join us for our meeting and conference...

Click Here to read the entire article.
MSP Private Cause Of Action:
The Common Thread Of Recent Case Law 
By: Heather  Schwartz Sanderson, Esq., MSCC,          CHPE, CLMP, CMSP 
       Chief Legal Officer, Franco Signor, LLC

The Medicare
Advantage Plan (MAP) system continues to grow; according to the Kaiser Family Foundation, as much as 31% of the Medicare population in the United States is also enrolled in a Medicare Advantage Plan...

  Click Here to read the entire article.
Conditional Payment Recovery and Transition to Commercial Repayment Center
Rita M. Wilson
       CEO, Tower MSA Partners

Effective October 5, 2015, as part of the continuing efforts to
improve the
Coordination of Benefits & Recovery and claims payment accuracy in Medicare Secondary Payer (MSP) situations, the Centers for Medicare & Medicaid Services (CMS) has transitioned a portion of the Non-Group Health Plan (NGHP) recovery workload from the Benefits Coordination & Recovery Center (BCRC) to its Commercial Repayment Center (CRC)...

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ICD-10 (International Classification of Diseases) plus ICD (Improved Clinical Documentation) Equals LHA
(Less Headaches for Allocators)
By: Marci Morehead, RN, CRRN, CLCP, CRP, CMAS, MSCC
      Professional Resource Network, LLC

It's now been almost three weeks since the implementation of
ICD-10 and I have not heard any reports of allocator fatalities!  As we have all heard over and over, 'ad nauseum', ICD-10-CM is the diagnosis classification system developed by the Centers for Disease Control and Prevention for use in all United States (U.S.) health care treatment settings...  

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State Workers' Compensation and
Medicare Secondary Payer Laws
Rasa Fumagalli,
      Director of Compliance and         
      Quality Assurance, Protocols

This year's Annual Meeting included a lively discussion of the relationship between state workers' compensation law and the Medicare Secondary Payer (MSP) law. The discussion was led by Jennifer Jordan of Medval, LLC and Danielle Marone of Schmidt, Dailey & O'Neill, LLC...
Click Here to read the entire article.
11th Annual Meeting
& Educational Conference Summary  
Tom Matson, CMSP
       Vice President, Client Development
       Gitter & Associates, Inc.
The 11th NAMSAP
Annual Meeting and Educational Conference took place from September 30 to October 2, 2015 at the beautiful Royal Sonesta Hotel in the heart of New Orleans, LA.  The festivities kicked off with three pre-conference sessions that gave attendees an added opportunity to obtain their valuable continuing education credits, and continued that afternoon with the general conference kickoff...
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Committee News

(Click the committee title to read report)

The NAMSAP Communications Committee would like to encourage you to submit an industry-related article for our upcoming newsletter. We are accepting submissions in the following categories: Legal, Legislative, and Medical. If you are interested in contributing to one of these categories, or have an idea for a new category, please contact Rita Wilson, Communications Committee Chair. She can be reached by email at


Click here for past Newsletter editions!