US District Court: Ruling in Sexton vs. Medicare
In Sexton v. Medicare, 2016 U.S. Dist. LEXIS 89818, Medicare made conditional payments for Plaintiff’s treatment after Plaintiff was...
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Melisa Zwilling
Mar 23, 2016
US District Court: Plaintiff Responsible for Full Amount of Formal Demand
In Anderson v. Burwell, 2016 U.S. Dist. LEXIS 26633 (March 3, 2016), a case arising out of the United States District Court for the...
Melisa Zwilling
Jan 28, 2016
Court Dismisses Takemoto Qui Tam Action
On January 20, 2016, the US District Court for the Western District of New York issued an order dismissing the claims of Kent Takemoto...
Melisa Zwilling
Jan 11, 2016
NOW LIVE: Obtain A Final Conditional Payment Amount Prior to Settlement
It’s here! The ability to obtain a Final Conditional Payment Amount prior to settlement has gone live. As we discussed in November, as...
Melisa Zwilling
Dec 10, 2015
Determining Rights of Medicare Advantage Plans: State Lacks Jurisdiction
In the most recent decision in a series of cases involving a 2009 incident at a condominium, a Florida Court of Appeal finds that the...
Melisa Zwilling
Dec 10, 2015
Why It's Important: Timely Resolution of Conditional Payment Claims
In Iowa Supreme Court Atty. Disciplinary Bd. v. Silich, No. 15-1227, 2015 Iowa Sup. LEXIS 97 (Iowa, December 4, 2015), a complaint was...
Melisa Zwilling
Dec 4, 2015
Update: Changes to Conditional Payment Claim Recovery Process
In October, a new contractor, the Commercial Repayment Center (CRC), began handling conditional payment claim recovery for claims in...
Melisa Zwilling
Oct 5, 2015
Reminder: Changes to Conditional Payment Claim Recovery Process
As we previously reported, beginning October 5, 2015, the Commercial Repayment Center (CRC) will handle the recovery of conditional...
Melisa Zwilling
Sep 22, 2015
CMS Webinar Recap
On September 17, 2015, CMS held a webinar to discuss the new role of the Commercial Repayment Center (CRC) in the NGHP recovery process. ...
Melisa Zwilling
Aug 21, 2015
Recent Results
Below are just a few of our recent results! Our goal is to exceed our clients expectations and deliver results. We work tirelessly to do...
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