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,...
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...
The original article was printed in the August issue of CLM Magazine. It was written by Heather Sanderson and Kimberly Vaughn. The industry has speculated for years whether and when the Centers for Medicare & Medicaid Services (CMS) would seek to enforce civil...
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...
In an opinion out of the United States District Court for the District of New Jersey, Osterbye v. United States, 2020 U.S. Dist. LEXIS 116591 (June 30, 2020), the Court denied Defendant Selective Insurance’s (Defendant) Motion to Dismiss Plaintiff’s suit and...
The Proposed Rule which would clarify MSP obligations “associated with future medical items and services related to liability insurance (including self-insurance), no-fault insurance, and workers’ compensation settlements, judgments, awards or other payments” has been...
