Matthew T. Dorius, Esq.Jan 13, 2020Reminder: Conditional Payment Letters From CMS Do Not Apply to Medicare Advantage Plans and MedicareAccording to current data from CMS, over 36 percent of Medicare beneficiaries are enrolled in Medicare Advantage Plans and over 41...
Melisa ZwillingApr 27, 2017U.S. District Court Upholds Dismissal of Claim Brought Under the Private Cause of Action Provision oIn 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 ZwillingApr 28, 2016Medicare Advantage Plans Increasing Recovery EffortsOver the last several years, a growing number of federal courts have held that Medicare Advantage Plans may seek recovery from...
Melisa ZwillingDec 10, 2015Determining Rights of Medicare Advantage Plans: State Lacks JurisdictionIn the most recent decision in a series of cases involving a 2009 incident at a condominium, a Florida Court of Appeal finds that the...