Ethics Free SHRM, HRCI and Department of Insurance Continuing Education Webinar
Let’s Talk Ethics: A Review of Common Ethical Issues in Legal and Employment Relationships Presented by: Melisa C. Zwilling During this...
Melisa Zwilling
- Jul 31
Brand New Free Insurance Continuing Education Webinars!
We've developed six new webinars we will be offering for free over the remainder of 2022. Department of Insurance continuing education...
Amber M. Parris, Esq.
- Jul 28
New Decisions in MSP Recovery Cases
The U.S. District Court for the Southern District of Florida has issued more orders in two separate MSP Recovery cases. In MSP Recovery...
Jennifer S. Baker, Esq.
- Jul 20
DEFENDANTS IN MAO-MSO RECOVERY II, LLC LITIGATION WIN SUMMARY JUDGMENT
The United States District Court of the Central District of Florida has granted Defendants’ motion for summary judgment in a line of...
Jennifer S. Baker, Esq.
- Jul 20
NEW CASE REMINDER TO INCLUDE MEDICARE COMPLIANCE AS A TERM OF SETTLEMENT
It is well known to most individuals in the insurance and legal industries that terms of settlement must be agreed upon by all parties. ...
Matthew T. Dorius, Esq.
- Jul 19
State Court Upholds Medicare Advantage Plan Recovery When Payment Exceeds Billed Charges
In Kaiser Foundation Health Plan, Inc. v. Brice, 2022 Wash. App. LEXIS 1133 (Wash. Ct. App. 2022), the Washington Court of Appeals...
Melisa Zwilling
- Jul 19
Bill to Repeal MSP Private Cause of Action Introduced in House
On June 2, 2022, a bill was introduced in the House of Representatives to “repeal the private cause of action for damages in the case of...
Caylan M. Holland, Esq.
- Jun 9
Dismissal of Guaranty Fund’s Request for Declaratory Judgment as "Applicable Plan" Affirmed
In Illinois Ins. Guar. Fund v. Becerra, 2022 U.S. App. LEXIS 12320, the U.S. Court of Appeal for the Seventh Circuit addressed a...
Meggie R. Krombach, Esq.
- May 16
United States District Court Dismisses False Claim Act Case
The United States District Court for the District of New Jersey recently gave us another look at the interplay of the False Claims Act...
Jessica H. Silinsky
- Apr 25
CMS Issues Pre-Solicitation Notice for WCRC
CMS issued a pre-solicitation notice on April 18, 2022, for its Workers’ Compensation Review Contractor (WCRC). It is noted that CMS...
Matthew T. Dorius, Esq.
- Apr 22
ACH Option for Payment of Conditional Payment Claims
CMS implemented an option this year for parties to issue ACH payments to reimburse conditional payment claims. The payment process must...
Jennifer S. Baker, Esq.
- Apr 22
Sixth Circuit District Court Holds Private Cause of Action Exists for Medicare Advantage Plans
A Sixth Circuit District court recently issued a decision in MSP Recovery Claims, Series LLC v. Nationwide Mut. Ins. Co., 2022 U.S. Dist....
Melisa Zwilling
- Apr 18
Workers’ Compensation Claims and Medicare Set-asides: To Submit or Not Submit
Recently, CMS updated the Workers’ Compensation Medicare Set-aside User Guide by issuing amended guidelines regarding non-submit Medicare...
Melisa Zwilling
- Apr 18
Case Law Discussion: MSP Liability and Workers' Comp Conditional Payment Claims
During this training session, attorney Melisa C. Zwilling will provide an overview of several significant cases from across the country...
Matthew T. Dorius, Esq.
- Mar 22
CMS Issues Updated WCMSA Reference Guide Addressing Evidence-Based and Non-Submit MSAs
CMS recently issued an updated WCMSA Reference Guide (Version 3.6) providing revised guidance on Evidence-Based and Non-Submit MSAs. CMS...
Jennifer S. Baker, Esq.
- Mar 16
Highlights of CMS’ WCMSA Webinar
CMS recently hosted a webinar covering a variety of WCMSA topics. Most highly anticipated, however, was the discussion of CMS’ policy...