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Matthew T. Dorius, Esq.
Jan 13, 2020
Reminder: Conditional Payment Letters From CMS Do Not Apply to Medicare Advantage Plans and Medicare
According to current data from CMS, over 36 percent of Medicare beneficiaries are enrolled in Medicare Advantage Plans and over 41...
Melisa Zwilling
Apr 27, 2017
U.S. District Court Upholds Dismissal of Claim Brought Under the Private Cause of Action Provision o
In the present case, Claims v. Co. V., No. 16-20338-CIV-LENARD/GOODMAN, 2017 U.S. Dist. Ct. LEXIS 43755, the Plaintiff (MSPA Claims 1,...
Melisa Zwilling
Apr 28, 2016
Medicare Advantage Plans Increasing Recovery Efforts
Over the last several years, a growing number of federal courts have held that Medicare Advantage Plans may seek recovery from...
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
Mar 18, 2015
District Court in the Eleventh Circuit Gives Humana a Private Cause of Action Under the MSP
Courts continue to follow the Third Circuit’s lead by finding that Medicare Advantage Organizations (MAO) have a private cause of action...
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