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Matthew T. Dorius, Esq.
Dec 2, 2020
CMS Issues Alert Maintaining $750.00 Threshold for 2021
This week CMS issued an alert confirming that they will maintain the current $750.00 TPOC reporting threshold for 2021. Physical...
Amber M. Parris, Esq.
Nov 19, 2020
Suit Using the MSPA Private Cause of Action Requires a Conditional Payment by Medicare
In this case, the plaintiff attempted to bring suit under the Medicare Secondary Payer Act (MSPA) and sought double damages under the...
Amber M. Parris, Esq.
Nov 19, 2020
Medicare is Primary Payer for Treatment of Injuries Occurring Prior to Passage of MSP Act
The New Jersey Superior court addressed the question of whether Medicare or a private insurer had primary payment responsibility for...
Melisa Zwilling
Nov 19, 2020
Medicare Conditional Payment Claim Appeal User Guide Published
CMS and the Commercial Repayment Center recently published a User Guide for non-group health plan conditional payment claim appeals. The...
Melisa Zwilling
Nov 19, 2020
FREE Continuing Education Webinars for Georgia, Alabama, Florida, Texas, California and Mississippi!
If you are in need of insurance adjuster continuing education credit before year-end, we've got you covered. We have two FREE webinars...
Matthew T. Dorius, Esq.
Nov 19, 2020
CMS Issues Section 111 Alert and Updated User Guide
Last week CMS issued an Alert and updated User Guide for Section 111 reporting. The Alert provides that as of April 5, 2021, claim...
Melisa Zwilling
Nov 11, 2020
Important Considerations for MSP Act Compliance Webinar for Liability and Workers' Compensation
This webinar has been very popular in 2020 so we wanted to extend another opportunity for you to attend and get an hour of continuing...
Melisa Zwilling
Nov 11, 2020
CMS Announces Non-Group Health Plan (NGHP) Beneficiary Recovery Process Webinar
CMS recently added a webinar to the 2020 calendar. On Wednesday, December 9, 2020, the Benefits Coordination & Recovery Center (BCRC)...
Amber M. Parris, Esq.
Oct 6, 2020
Court Grants Department of Health and Human Services’ Motion for Summary Judgment
Plaintiffs in this matter settled wrongful death lawsuits with the State of Montana, Burlington Northern Santa Fe Railroad (“BNSF”) and...
Matthew T. Dorius, Esq.
Oct 5, 2020
CMS and CRC Host Webinar on Conditional Payment Claim Appeals
CMS and the Commercial Repayment Center recently hosted a webinar on submitting conditional payment claim appeals. CMS and CRC explained...
Jennifer S. Baker, Esq.
Oct 5, 2020
Conditional Payment Claim Appeal Addressed by District Court
In the Estate of William Fisher, 2020 U.S. Dist. LEXIS 166439 (D. Minn. Aug. 21, 2020), the Plaintiff sought judicial review of the...
Matthew T. Dorius, Esq.
Sep 18, 2020
CMS Publishes Webinar Questions and Answers Confirming Indemnity Only Settlements Not Reportable
The Questions and Answers from the August 13, 2020, webinar on Section 111 reporting are now available HERE. As discussed on our...
Meggie R. Krombach, Esq.
Sep 9, 2020
Florida Bankruptcy Court Orders Medicare Liens To Be Reimbursed Before Debtor’s Attorney’s Fees Paid
This matter involved an attorney (Debtor) who filed Chapter 11 bankruptcy while pending payment of a contingency fee. The fee was earned...
Matthew T. Dorius, Esq.
Sep 9, 2020
Eleventh Circuit Allows Private Cause of Action for Entities Affiliated with Medicare Advantage Plan
In MSPA Claims 1, LLC v. Liberty Mutual Fire Insurance Company, No. 18-13312 (11th Cir. 2020), the Eleventh Circuit Court of Appeals held...
Melisa Zwilling
Sep 8, 2020
Medicare Secondary Payer Act Continuing Education Credit Webinar on October 22, 2020
Our August webinar was so successful we wanted to give those who were unable to attend another opportunity. Carr Allison will be...
Amber M. Parris, Esq.
Sep 8, 2020
Invalid Assignments Continue to Thwart Conditional Payment Claim Recovery Attempts
The Eleventh Circuit weighed in on the series of proposed class-action cases brought around the country by MSP Recovery, LLC. (MSP...
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