Published: Friday, February 12, 2021
The Secondary Payer Mouse Trap
Staying Safe when Medicare's Final Demand Exceeds the Conditional Payments
Published: Friday, February 12, 2021
Staying Safe when Medicare's Final Demand Exceeds the Conditional Payments
Published: Tuesday, October 6, 2020
MAOs' NEW Strategy
Published: Thursday, October 1, 2020
Coding is King
Published: Friday, September 4, 2020
The Provide Accurate Information Directly Act (PAID)
Published: Thursday, July 9, 2020
“Major” “Economically Significant” Federal Rulemaking Could Affect Virtually All Forms of Injury-related Recoveries to Medicare Beneficiaries
Published: Friday, February 28, 2020
Do I really have to pay copy service fees to get my client’s medical records? Well – no.
Published: Friday, February 28, 2020
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required CMS to remove SSNs from all Medicare cards by April 2019
Published: Friday, February 28, 2020
“The Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act) requires CMS to set an annual threshold for recovery of conditional payments each year. The $750 threshold from 2019 will remain the same for 2020.
Published: Friday, February 28, 2020
Very strong indemnity/hold harmless language regarding liens, especially with regards to Medicaid and Medicare, are now standard in most settlement agreements. As plaintiff’s attorneys, we often see language that obligates not just the plaintiff, but also his or her counsel to indemnify the defendants against lien and reimbursement claims by health plans.
Published: Friday, February 28, 2020
In January 2013, the SMART Act went into effect and introduced new procedures for CMS to use when seeking reimbursement under the Secondary Payer Act [SPA]. Buried in the new regulations is 42 U.S.C. 1395y(b)(2)(B)(iii), which includes a three year limitation period on actions by the “United States” which must be filed “no later than 3 years after the date of the receipt of notice of a settlement, judgment, award…”.
Published: Friday, February 12, 2021
Staying Safe when Medicare's Final Demand Exceeds the Conditional Payments
Published: Tuesday, October 6, 2020
MAOs' NEW Strategy
Published: Thursday, October 1, 2020
Coding is King
Published: Friday, September 4, 2020
The Provide Accurate Information Directly Act (PAID)
Published: Thursday, July 9, 2020
“Major” “Economically Significant” Federal Rulemaking Could Affect Virtually All Forms of Injury-related Recoveries to Medicare Beneficiaries
Published: Friday, February 28, 2020
Do I really have to pay copy service fees to get my client’s medical records? Well – no.
Published: Friday, February 28, 2020
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required CMS to remove SSNs from all Medicare cards by April 2019
Published: Friday, February 28, 2020
“The Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act) requires CMS to set an annual threshold for recovery of conditional payments each year. The $750 threshold from 2019 will remain the same for 2020.
Published: Friday, February 28, 2020
Very strong indemnity/hold harmless language regarding liens, especially with regards to Medicaid and Medicare, are now standard in most settlement agreements. As plaintiff’s attorneys, we often see language that obligates not just the plaintiff, but also his or her counsel to indemnify the defendants against lien and reimbursement claims by health plans.
Published: Friday, February 28, 2020
In January 2013, the SMART Act went into effect and introduced new procedures for CMS to use when seeking reimbursement under the Secondary Payer Act [SPA]. Buried in the new regulations is 42 U.S.C. 1395y(b)(2)(B)(iii), which includes a three year limitation period on actions by the “United States” which must be filed “no later than 3 years after the date of the receipt of notice of a settlement, judgment, award…”.
The Secondary Payer Mouse Trap
3 years ago
Staying Safe when Medicare's Final Demand Exceeds the Conditional PaymentsMAOs' NEW Strategy for Secondary Payer Lawsuits
3 years ago
MAOs' NEW StrategyMedicare Reporting Update: Coding is King
3 years ago
Coding is KingRevealing Your Clients’ Medicare Advantage and Medicare Coverage and “Liens”
3 years ago
The Provide Accurate Information Directly Act (PAID)“Major” “Economically Significant” Federal Rulemaking Could Affect Virtually All Forms of Injury-related Recoveries to Medicare Beneficiaries
3 years ago
“Major” “Economically Significant” Federal Rulemaking Could Affect Virtually All Forms of Injury-related Recoveries to Medicare BeneficiariesThe HITECH Act to getting Medical Records
4 years ago
Do I really have to pay copy service fees to get my client’s medical records? Well – no.