Showing posts with label Medicare Secondary Payer Act. Show all posts
Showing posts with label Medicare Secondary Payer Act. Show all posts
Sunday, December 8, 2024

Podcast: Medicare Set-Aside Agreements after the Loper Bright Decision

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My recent post about the US Supreme Court's decision in the Loper Bright case and its impact on Medicare Set-Aside Agreements has receiv...
Thursday, August 11, 2022

The Eleventh Circuit Holds 4 Year Statute of Limitations Applies in MSP Private Actions

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The 11th Circuit Court of Appeals decided that a four-year statute of limitation applies to private actions pursued under the Medicare Secon...
Wednesday, June 20, 2018

Penalty Denied in MSP Private Cause of Action Claim for Delay in Reimbursement

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While the personal representative of an estate had standing to bring a lawsuit against a medical provider for recoupment of money under the...
Monday, April 30, 2018

NJ Mandates Reporting of Medicare Conditional Payments

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The NJ Division of Workers’ Compensation has now mandated the reporting of pending workers’ compensation claims possibly eligible for reimb...
Friday, January 13, 2017

Medicare Advantage Organization Allowed to Sue Law Firm and Lawyer Over Conditional Payments

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A Federal Court has ruled that a Medicare Advantage Organization (MAO) is permitted under the law to sue a law firm and a lawyer for the fa...
Tuesday, May 17, 2016

CMS Publishes Final Rule for MSP Conditional Payments Via Web Portal

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This final rule, effective June 16, 2016,  specifies the process and timeline for expanding CMS' existing Medicare Secondary Payer (MSP)...
Thursday, September 5, 2013

9th Circuit Vacates MSP Injunction Against CMS for Medicare Reimbursement

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The 9th Circuit Court of Appeals has vacated a Federal District Court Order enjoying CMS from seeking reimbursement for Medicare Conditiona...
Tuesday, August 27, 2013

No Shopping Zone: Medicare Is Not Part Of New Insurance Marketplaces

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Medicare is integrated with many aspects of state workers' compensation programs. From medical fee setting to reimbursement for condit...
Thursday, August 22, 2013

US Supreme Court Asked to Review MSP Preemption Issue

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The US Supreme Court has been asked to review a claim on behalf of an injured worker who asserts that the Medicare Secondary Payer Act did...
Monday, June 17, 2013

Proposed Medicare Payment Reductions Will Impact Workers' Compensation Costs

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A government Medicare advisory panel reported on Friday that sweeping changes should be implemented to reduce increasing medical costs, incl...
Friday, May 17, 2013

Obamacare Will Be Collecting Workers' Compensation Medical Records

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The implementation of Affordable Care Act data collection regulations will include the collection of medical information concerning work rel...
Friday, March 29, 2013

CMS Publishes Brand New Reference Guide for Medicare Set-Aside Arrangements

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A new Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide has been posted and is available to be downloaded on th...
Saturday, December 29, 2012

Class Action by Medicare Advantage Beneficiares Dismissed By Federal Court

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A federal class action, by a group of plaintiffs who alleged that they were a class of Medicare-eligible individuals enrolled in a Medicare ...
Friday, December 28, 2012

Legislation Goes to President Obama on CMS Condition Payment Procedures

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The US House ( H.R. 1845 ) and US Senate has passed legislation to modify procedures for processing conditional payments under the Medicar...
Monday, December 10, 2012

Federal court denies motion to add Medicare secondary reimbursement claims to a pending class action

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A United States District Court handling Vioxx litigation has denied as application to add Medicare reimbursement claims to the pending appli...
Thursday, November 1, 2012

Workers' Compensation Jeopardy: Romney and Medical Costs

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Mitt Romney Planned changes by Mitt Romney to Medicare and Medicaid will ha...
Tuesday, November 22, 2011

The Doctrine of Equitable Allocation Not Applicable in a Medicare Secondary Payment Reimbursement Claim

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The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitle to complete reimbursement of...