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May 23, 2017

New Developments In The Case Of CIGA v. Burwell

In January 2017, we posted an article concerning a recent case, Cali. Ins. Guar. Ass’n v. Burwell, No. 2:15-cv-01113-ODW (FFMx), 2017 U.S. Dist. Ct. LEXIS 1681. As you may recall, the Defendant (CMS) paid medical benefits on the behalf of three individuals who were also covered under workers’ compensations policies administered by the Plaintiff (California Insurance Guaranty Association (CIGA)). CMS sought reimbursement from CIGA for the payments issued and CIGA argued that t

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Good News Regarding CMS Approvals of MSAs

Release of Defendant’s Insurer Not Implied as Part of Settlement

Free CE webinar: Medicare Advantage Plans, Prescription Drug Plans and the Newly Enacted PAID Act

CMS Again Postpones Liability MSA Proposed Rule

Court Grants Motion to Enforce Settlement & Evaluates the Need for Liability Medicare Set-asides

PAID Act Signed into Law by President

Michigan Appeals Court Remands Case for Further Consideration of Defendant’s Alleged Failure to Pay

PAID Act Passes the House!

Medicare Advantage Assignees’ Case Dismissed for Lack of Specificity in Complaint

CMS Issues Alert Maintaining $750.00 Threshold for 2021

Suit Using the MSPA Private Cause of Action Requires a Conditional Payment by Medicare

Medicare is Primary Payer for Treatment of Injuries Occurring Prior to Passage of MSP Act

Medicare Conditional Payment Claim Appeal User Guide Published

FREE Continuing Education Webinars for Georgia, Alabama, Florida, Texas, California and Mississippi!

CMS Issues Section 111 Alert and Updated User Guide

Important Considerations for MSP Act Compliance Webinar for Liability and Workers' Compensation

CMS Announces Non-Group Health Plan (NGHP) Beneficiary Recovery Process Webinar

Court Grants Department of Health and Human Services’ Motion for Summary Judgment

CMS and CRC Host Webinar on Conditional Payment Claim Appeals

Conditional Payment Claim Appeal Addressed by District Court

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