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Plaintiffs’ Firm Pays $91,406.98 to Resolve Conditional Payment Claims
The United States Attorney for the District of Maryland, Robert Hur, recently announced that Saiontz & Kirk, P.A., a plaintiffs’ firm in...
Matthew T. Dorius, Esq.
Nov 20, 2019
Ninth Circuit Holds That California Insurance Guarantee Association Is Not a Primary Plan
The United States Court of Appeals for the Ninth Circuit recently issued a significant decision for State Guarantee Associations. In...
Jennifer S. Baker, Esq.
Oct 30, 2019
Revised Self-Administration Toolkit for WCMSAs Now Available
CMS recently released Version 1.3 of its Self-Administration Toolkit for WCMSAs. The Toolkit is a resource for claimants who intend to...
Jessica A. Hurst, Esq.
Oct 21, 2019
Conditional Payment Claim Leads Backlog
Last month the Commercial Repayment Center (CRC) held a conference call regarding the substantial backlog of unworked conditional payment...
Caylan M. Holland, Esq.
Sep 24, 2019
Suit by Medicare Advantage Recovery Agent Allowed to Proceed
Plaintiffs, MSP Recovery Claims, Series LLC (MSP Recovery), asserted a putative class action suit against Defendant, AIX Specialty...
Amber M. Parris, Esq.
Jun 17, 2019
Claimant Files Breach of Contract Claim for Alleged Delay in Addressing Medicare Compliance Issues
The plaintiff, Teodora Shaw, alleged two separate work-related injuries during her employment with defendant Whirlpool. The parties...
Amber M. Parris, Esq.
May 23, 2019
New York State Appeals Court Holds Dissatisfaction with Effect of MSA Not Grounds to Void Settlement
Plaintiffs, John Lenge and his wife, filed suit after John allegedly sustained an injury at work. On the first day of trial, the parties...
Amber M. Parris, Esq.
May 13, 2019
Pennsylvania State Court Finds MSA Funds Subject to Subrogation When Employer Remains Responsible Fo
In Marshall v. Workers’ Compensation Appeal Bd, (2019 Pa. Commw. Unpub. LEXIS 192, (Commonwealth Ct. of Penn. March 14, 2019)), the...
Meggie R. Krombach, Esq.
May 13, 2019
Recent Medicare Trustees Report Shows Trust Fund Responsible for Funding Medicare Part A Will Deplet
The Board of Trustees for Medicare issued its annual report to Congress on April 22, 2019 concerning the financial operations and...
Jessica A. Hurst, Esq.
Apr 23, 2019
CMS Implements Electronic Repayment Option for Conditional Payments
As of April 1, 2019, debtors have the option to repay conditional payment claims electronically through the Medicare Secondary Payer...
Jennifer S. Baker, Esq.
Apr 2, 2019
Eleventh Circuit Holds That Private Cause of Action Only Applies to Primary Plans
In MSPA Claims 1, LLC v. Tenet Fla., Inc., No. 18-11816, 2019 U.S. App. LEXIS 7833 (11th Cir. March 18, 2019), the Eleventh Circuit...
Matthew T. Dorius, Esq.
Apr 1, 2019
Law Firm to Pay Medicare $250,000 to Settle Claims That It Did Not Properly Reimburse Medicare
According to a recent press release issued by the United States Attorney’s Office for the District of Maryland, law firm Meyer, Rodbell &...
Caylan M. Holland, Esq.
Apr 1, 2019
Court Finds Questions Remain as to Whether Medicare’s Lawsuit Necessary
David Trostle was hospitalized for sixty-six days after being given the wrong prescription medication by his pharmacy. Medicare paid the...
Amber M. Parris, Esq.
Mar 4, 2019
Department of Health and Human Services Working to Clear Medicare Appeals Backlog by End of 2022 Fis
The Medicare appeals process includes a redetermination with the contractor that issued the initial determination, a reconsideration with...
Matthew T. Dorius, Esq.
Feb 15, 2019
CMS Notice of Proposed Rule on Section 111 Penalties
The most recent Regulatory Agenda from the Department of Health and Human Services includes a notice of a proposed rule on Section 111...
Melisa Zwilling
Dec 13, 2018
CMS Notice of Proposed Rule on Options for Meeting Future Medical Obligations
In its most recent Regulatory Agenda, the Department of Health and Human Services issued notice of a proposed rule that would provide...
Melisa Zwilling
Dec 13, 2018
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