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Melisa Zwilling
May 17, 2016
CMS Final Rule: Obtaining Final Conditional Payment Amount from Web Portal and Multi-Factor Authenti
On May 17, 2016, CMS published a final rule in the Federal Register specifying procedures for parties to obtain a final conditional...
Melisa Zwilling
May 12, 2016
Join Us In Hershey PA! 15th Annual WC Conference 2016
Carr Allison Medicare Compliance Group will be exhibiting at the upcoming 15th Annual Workers' Compensation Conference held at the...
Melisa Zwilling
May 12, 2016
US District Court: Evaluates Requirement of Demonstrated Responsibility
Previously, we reported on the trend of recent decisions holding that a contractual relationship alone is insufficient to demonstrate...
Melisa Zwilling
May 12, 2016
California Court of Appeal: Addressing Plan for Reimbursement of Conditional Payment Claims in Settl
In Karpinski v. Smitty’s Bar, 2016 Cal. App. LEXIS 277, the California Court of Appeal highlighted the importance of specifying a plan...
Melisa Zwilling
May 12, 2016
US District Court: Involvement of MSPA Does Not Create a Federal Question
In Mikiewicz v. Hamorski and Erie Insurance Exchange, 2016 U.S. Dist. LEXIS 58859 (May 3, 2016), the United States District Court for the...
Melisa Zwilling
May 12, 2016
US District Court: CIGA Responsible for Reimbursing Medicare Conditional Payment Claims
In CIGA v. Burwell, 2016 U.S. Dist. LEXIS 34163 (March 16, 2016), the California Insurance Guaranty Association (CIGA) filed a...
Melisa Zwilling
May 11, 2016
Nebraska’s Workers’ Compensation: Rule 47 to Ensure Medicare Compliance
Rule 47 of Nebraska’s Rules of Procedure of the Nebraska Workers’ Compensation Court discusses the requirements for lump sum settlements...
Melisa Zwilling
Apr 29, 2016
State Court Orders Double Damages in Private Cause of Action Case
A disturbing decision was issued in February by a Michigan state court in Hull v. Home Depot (Case No. 15-148344-CZ, Oakland County...
Melisa Zwilling
Apr 28, 2016
Medicare Advantage Plans Increasing Recovery Efforts
Over the last several years, a growing number of federal courts have held that Medicare Advantage Plans may seek recovery from...
Melisa Zwilling
Mar 29, 2016
Petitioner Alleges Violation of the False Claims Act By Making Medicare Primary Payer
In Negron v. Progressive Cas. Ins. Co.., No. 14-577, 2016 U.S. Dist. LEXIS 24994 (U.S Dist. N.J., March 1, 2016), a complaint was brought...
Melisa Zwilling
Mar 23, 2016
US District Court: Plaintiff Responsible for Full Amount of Formal Demand
In Anderson v. Burwell, 2016 U.S. Dist. LEXIS 26633 (March 3, 2016), a case arising out of the United States District Court for the...
Melisa Zwilling
Mar 23, 2016
State Law Limit On Lien Recovery: Not Applicable When Directly Conflicts With Federal Law
In a recent opinion by the Appellate Court of Illinois, McKim v. Southern Illinois Hospital Services, the Court took on the issue of...
Melisa Zwilling
Mar 10, 2016
Melisa Zwilling
Feb 16, 2016
Hospital Must Exhaust Administrative Remedies Before Filing Suit in Federal Court
Select Specialty Hospital-Ann Arbor, the Plaintiff in the present action, filed suit in federal court against the Secretary of Health and...
Melisa Zwilling
Feb 11, 2016
CRC Alert: Continued Delays in Response Times
As many have experienced, the CRC, which is the new contractor responsible for pursuing recovery from liability and workers’ compensation...
Melisa Zwilling
Jan 28, 2016
Court Dismisses Takemoto Qui Tam Action
On January 20, 2016, the US District Court for the Western District of New York issued an order dismissing the claims of Kent Takemoto...
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