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Melisa Zwilling
Jul 31, 2022
Brand New Free Insurance Continuing Education Webinars!
We've developed six new webinars we will be offering for free over the remainder of 2022. Department of Insurance continuing education...
Amber M. Parris, Esq.
Jul 28, 2022
New Decisions in MSP Recovery Cases
The U.S. District Court for the Southern District of Florida has issued more orders in two separate MSP Recovery cases. In MSP Recovery...
Jennifer S. Baker, Esq.
Jul 20, 2022
DEFENDANTS IN MAO-MSO RECOVERY II, LLC LITIGATION WIN SUMMARY JUDGMENT
The United States District Court of the Central District of Florida has granted Defendants’ motion for summary judgment in a line of...
Jennifer S. Baker, Esq.
Jul 20, 2022
NEW CASE REMINDER TO INCLUDE MEDICARE COMPLIANCE AS A TERM OF SETTLEMENT
It is well known to most individuals in the insurance and legal industries that terms of settlement must be agreed upon by all parties. ...
Matthew T. Dorius, Esq.
Jul 19, 2022
State Court Upholds Medicare Advantage Plan Recovery When Payment Exceeds Billed Charges
In Kaiser Foundation Health Plan, Inc. v. Brice, 2022 Wash. App. LEXIS 1133 (Wash. Ct. App. 2022), the Washington Court of Appeals...
Melisa Zwilling
Jul 19, 2022
Bill to Repeal MSP Private Cause of Action Introduced in House
On June 2, 2022, a bill was introduced in the House of Representatives to “repeal the private cause of action for damages in the case of...
Caylan M. Holland, Esq.
Jun 9, 2022
Dismissal of Guaranty Fund’s Request for Declaratory Judgment as "Applicable Plan" Affirmed
In Illinois Ins. Guar. Fund v. Becerra, 2022 U.S. App. LEXIS 12320, the U.S. Court of Appeal for the Seventh Circuit addressed a...
Meggie R. Krombach, Esq.
May 16, 2022
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...
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...
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