CMS Issues Final Rule on Section 111 Penalties
On October 10, 2023, CMS released the Final Rule on Section 111 Penalties. CMS explained in an Alert issued the same day that “this rule...
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Matthew T. Dorius, Esq.
Sep 14, 2023
Upcoming Change to Fixed Percentage Option
CMS currently has an option to resolve conditional payment claims in certain liability cases with settlements of $5,000.00 or less by...
Caylan M. Holland, Esq.
Jul 28, 2023
Second Circuit Finds Section 111 Reporting Does not Establish Liability
In MSP Recovery Claims, Series LLC v. Hereford Insurance Co., 2023 WL 2993857 (2nd Cir. April 19, 2023), the United States Second Circuit...
Caylan M. Holland, Esq.
Jul 28, 2023
Eleventh Circuit Finds the MSPA Does not Preempt Insurer’s Claim Filing Deadline
In a recent case, MSP Recovery Claims, Series LLC v. United Auto. Ins. Co., the United States Eleventh Circuit Court of Appeals addressed...
Matthew T. Dorius, Esq.
Jul 28, 2023
CMS Releases Chart of Top 10 Section 111 Reporting Errors
CMS recently released a chart of the top 10 Section 111 reporting errors for January 1, 2023, through June 30, 2023. The top 10 errors...
Caylan M. Holland, Esq.
Jul 25, 2023
CMS Updates to Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide
CMS recently released an update to the Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide (Version 3.9, updated...
Melisa Zwilling
Jul 23, 2023
Webinar: Medicare Secondary Payer Act Compliance in Workers' Compensation Cases
Register now for this FREE continuing education webinar! Complying with the Medicare Secondary Payer Act in workers’ compensation cases...
Melisa Zwilling
Jul 23, 2023
ETHICS: Beware What You Put in Writing: Emails and Text Messages Can and Will be Used Against You
Register now for this FREE continuing education webinar! Emails and text messages are becoming some of the most important pieces of...
Melisa Zwilling
Jul 23, 2023
Webinar: Simplifying Compliance with the Medicare Secondary Payer Act in Liability Cases
Register now for this FREE continuing education webinar! Determining the steps to take in liability cases to ensure compliance with the...
Melisa Zwilling
Jul 23, 2023
Webinar: Ethical Considerations Concerning AI in Legal, Employment and Insurance Relationships
Register now for this FREE continuing education webinar! At first glance, it may seem that a failure to embrace AI is unwise and...
Melisa Zwilling
Jul 23, 2023
Webinar: Medicare Conditional Payment Claims: Avoiding Obstacles in Liability and WC Claims
Register now for this FREE continuing education webinar! Understanding how and when Medicare Conditional Payment Claims arise is vital to...
Melisa Zwilling
Jul 23, 2023
Webinar: Diversity, Equity and Inclusion: Current Trends and Their Impact on Employment Claims
Register now for this FREE continuing education webinar! Understanding major court decisions, jury verdicts and current trends is crucial...
Melisa Zwilling
Jul 23, 2023
Webinar: Section 111 Mandatory Reporting Under the Medicare Secondary Payer Act
Register now for this FREE continuing education webinar! This webinar will include a discussion of the basics of Section 111 Reporting...
Melisa Zwilling
Jul 23, 2023
Webinar: How to Avoid Pitfalls and Ensure Compliance with Federal Law Regarding MAPs and PDPs
Register now for this FREE continuing education webinar! The Medicare Secondary Payer Act applies to Medicare Advantage Plans (MAPs) and...
Matthew T. Dorius, Esq.
Jun 26, 2023
Recent Changes to Section 111 Reporting Requirements
New Criteria for Reporting ORM Chapter III, Section 6.3 of the User Guide now provides: “The trigger for reporting ORM is the assumption...
Matthew T. Dorius, Esq.
Apr 24, 2023
Updated Section 111 User Guide Released
On April 24, 2023, CMS released Version 7.1 of the NGHP Section 111 User Guide to include a new Section 6.1.13 addressing subscription...
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