Medicare Conditional Payment Update: Recent court opinions enforce the notion that failure to satisfy traditional Medicare & Medicare Advantage Plan Conditional Payments subjects primary payers to unwinding of settlements and double damages

Earlier this year, we reported on several filings by MSP Recovery LLC which involved class action lawsuits against large insurance carriers/primary payers for double damages pursuant to the Medicare Secondary Payer (MSP) private cause of action. These lawsuits,...

CMS to Host Commercial Repayment Center (CRC) Webinar on NGHP Appeals

An announcement has been posted which provides that CMS will host a CRC Non-Group Health Plan (NGHP) applicable plans appeals webinar on Thursday, September 24, 2020. The webinar will primarily focus on how parties can effectively submit redetermination (first-level...

CMS to Host Section 111 NGHP Reporting Webinar

CMS has announced that it will host a Section 111 NGHP Reporting Webinar on August 13, 2020 at 1:00 PM EST. The format of the webinar will include opening remarks by CMS followed by a presentation that will include NGHP Reporting best practices and reminders. The...