United States District Court Dismisses False Claim Act Case
The United States District Court for the District of New Jersey recently gave us another look at the interplay of the False Claims Act...
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Jessica H. Silinsky
- Apr 25, 2022
CMS Issues Pre-Solicitation Notice for WCRC
CMS issued a pre-solicitation notice on April 18, 2022, for its Workers’ Compensation Review Contractor (WCRC). It is noted that CMS...
Matthew T. Dorius, Esq.
- Apr 22, 2022
ACH Option for Payment of Conditional Payment Claims
CMS implemented an option this year for parties to issue ACH payments to reimburse conditional payment claims. The payment process must...
Jennifer S. Baker, Esq.
- Apr 22, 2022
Sixth Circuit District Court Holds Private Cause of Action Exists for Medicare Advantage Plans
A Sixth Circuit District court recently issued a decision in MSP Recovery Claims, Series LLC v. Nationwide Mut. Ins. Co., 2022 U.S. Dist....
Melisa Zwilling
- Apr 18, 2022
Workers’ Compensation Claims and Medicare Set-asides: To Submit or Not Submit
Recently, CMS updated the Workers’ Compensation Medicare Set-aside User Guide by issuing amended guidelines regarding non-submit Medicare...
Melisa Zwilling
- Apr 18, 2022
Case Law Discussion: MSP Liability and Workers' Comp Conditional Payment Claims
During this training session, attorney Melisa C. Zwilling will provide an overview of several significant cases from across the country...
Matthew T. Dorius, Esq.
- Mar 22, 2022
CMS Issues Updated WCMSA Reference Guide Addressing Evidence-Based and Non-Submit MSAs
CMS recently issued an updated WCMSA Reference Guide (Version 3.6) providing revised guidance on Evidence-Based and Non-Submit MSAs. CMS...
Jennifer S. Baker, Esq.
- Mar 16, 2022
Highlights of CMS’ WCMSA Webinar
CMS recently hosted a webinar covering a variety of WCMSA topics. Most highly anticipated, however, was the discussion of CMS’ policy...
Melisa Zwilling
- Mar 1, 2022
WCMSAs & LMSAs: Understanding the Actual Legal Requirements & Strategies to Navigate the Compliance
Twenty years ago the “Patel Memorandum” was published by CMS which, in essence, created the “MSA” industry. Since its inception, the...
Matthew T. Dorius, Esq.
- Feb 8, 2022
CMS to Host Webinar on WCMSAs
On February 17, 2022, CMS will host a webinar at 1:00 Eastern Time to discuss Medicare Set-aside issues in workers’ compensation cases. ...
Melisa Zwilling
- Jan 24, 2022
CMS Updates Workers’ Compensation Medicare-Set Aside Arrangement Reference Guide
On January 10, 2022, CMS Updated Section 4.3 of the Workers’ Compensation Medicare-Set Aside Arrangement Reference Guide. In this...
Melisa Zwilling
- Jan 24, 2022
Carr Allison Medicare Compliance Spotlight
This month’s attorney spotlight is on Jessica Hurst, an attorney in our Dothan office. The year is already off to a quick start and...
Matthew T. Dorius, Esq.
- Jan 14, 2022
CMS Issues Updated Section 111 User Guide With Go Paperless Option for Recovery Correspondence
On January 10, 2022, CMS released Version 6.7 of the NGHP Section 111 User Guide. The new User Guide provides an option for RREs and...
Matthew T. Dorius, Esq.
- Dec 23, 2021
CMS Issues Updated User Guide, Provides New Guidance for TPOCs with Delayed Funding
CMS recently issued an updated User Guide clarifying the use of the Funding Delayed Beyond TPOC Start Date field. In an Alert in...
Melisa Zwilling
- Dec 20, 2021
December 2021 Attorney Spotlight: Amber Parris
This month’s attorney spotlight is on Amber Parris, an attorney in our Birmingham office. With the holiday season in full swing, we...
Amber M. Parris, Esq.
- Dec 20, 2021
Avoid Surprise Conditional Payment Claims with Section 111 Reporting
I am sure we can all agree that unexpected Medicare conditional payment claims are not the holiday surprise anyone wants! As we recently...
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