Reminder: Conditional Payment Letters From CMS Do Not Apply to Medicare Advantage Plans and Medicare
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According to current data from CMS, over 36 percent of Medicare beneficiaries are enrolled in Medicare Advantage Plans and over 41...
Meggie R. Krombach, Esq.
- Jan 10, 2020
U.S. District Court Dismisses Action by MAO Assignee Due to Lack of Standing
In Humana, Inc. v. St. Jude Med., LLC, 2019 U.S. Dist. LEXIS 223313, the United States District Court for the Southern District of...
Matthew T. Dorius, Esq.
- Jan 10, 2020
Federal District Court Applies Three Year MSP Statute of Limitations to Medicare Advantage Plans
In MSP Recovery Claims v. Farmers Ins. Exch., 2019 U.S. Dist. LEXIS 106417 (C.D. Cal. June 12, 2019), the U.S. District Court for the...
Jessica A. Hurst, Esq.
- Jan 10, 2020
Plaintiffs’ Firm Pays Lump Sum to Resolve Conditional Payment Claims and Agrees to Establish Plan fo
The United States Attorney’s Office for the Eastern District of Pennsylvania recently announced that Simon and Simon, P.C., a...
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...
Amber M. Parris, Esq.
- Dec 18, 2019
Proposed Class-Action Suit Dismissed for Lack of Jurisdiction
In the latest installment of the ongoing case MAO-MSO Recovery II, LLC v. State Farm, (2019 U.S. Dist. LEXIS 204397 (C.D. Ill. Nov. 25,...
Amber M. Parris, Esq.
- Dec 18, 2019
Lawsuit Against Medicare Dismissed for Failure to Exhaust Administrative Remedies
In Yatsko v. Roehl, (2019 U.S. Dist. LEXIS 194600 (D. Md. November 7, 2019)), the plaintiff, a Medicare beneficiary, was injured in a car...
Meggie R. Krombach, Esq.
- Dec 18, 2019
CMS Releases 2020 Recovery Thresholds for Non-Group Health Plan Cases
CMS recently issued notice of the “2020 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’...
Amber M. Parris, Esq.
- Nov 20, 2019
CMS Announces Changes to WCMSA Reference Guide including Extension of Time Frame for Amended Reviews
CMS recently released an updated version of the Workers’ Compensation Medicare Set-aside Arrangement Reference Guide. The new version of...
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