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...
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Matthew T. Dorius, Esq.
Jan 8, 2020
CMS to Host Webinar to Discuss CRC ORM Recovery Issues
CMS recently announced that they are hosting a webinar to discuss issues with CRC’s recovery of conditional payment claims in cases...
Melisa Zwilling
Sep 19, 2018
Sixth Circuit Remands Case to District Court for Further Consideration Regarding Standing
Duncan v. Liberty Mutual Insurance Company, arises following a motor vehicle accident the late David Duncan was involved in on January...
Melisa Zwilling
Jul 16, 2018
Law Firm Reaches Agreement with the United States Department of Justice Regarding the Firm’s Failure
The U.S. Attorney’s Office for the Eastern District of Philadelphia issued a press release regarding a settlement agreement with a...
Melisa Zwilling
Apr 12, 2018
State Court Vacates Settlement due to Error Regarding Medicare Conditional Payment Claims
In Mayo v. NYU Langone Medical Center, a New York state court vacated a settlement agreement (“the Agreement”), finding that a mutual...
Melisa Zwilling
Apr 27, 2017
U.S. District Court Upholds Conditional Payment Claim Demand Amount
Parties often wait to finalize settlement until initial information concerning conditional payment claims is received. While this is...
Melisa Zwilling
Aug 1, 2016
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...
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 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
Nov 9, 2015
Carr Allison Scores Major Victories for Clients
With the football season upon us, we’re all rooting for our favorite team to win. It takes a lot of hard work, dedication, determination...
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