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Florida District Court: Beneficiaries Should Not Rely upon Estimated Conditional Payment Amounts

Mar 27, 2017

In a decision out of the Southern District of Florida, Shapiro v. Secretary of HHS, 2017 U.S. Dist. LEXIS 42278 (March 23, 2017), the District Court affirmed a final decision of the Medicare Appeals Council (“MAC”) rejecting a Medicare beneficiary’s...

Michigan District Court: Medicare Conditional Payments are Recoverable for Medical Expenses Claimed and/or Released

Mar 11, 2016

Anderson v. Burwell, 2016 U.S. Dist. LEXIS 26633 (March 3, 2016), arises out of the United States District Court for the Eastern District of Michigan, Southern Division.  It raises many interesting Medicare Secondary Payer (MSP) conditional payment reimbursement...

SMART Success – Applicable Plans Soon Able to Leverage New MSP Appeal Right

Mar 11, 2015

Effective April 28, 2015, Applicable Plans (Workers’ Compensation Law or Plans, Liability Insurance, No-Fault Insurance, and those who self-insure for casualty losses) will be able to appeal erroneous MSP Final Demand Letters directed by the Centers for Medicare &...

MARC SMART about new Medicare Secondary Payer Legislation – Introduces Strengthening Medicare and Repaying Taxpayers Act (H.R.#1063)

Mar 18, 2011

On Monday, Congressman Tim Murphy for Pennsylvania and Congressman Ron Kind for Wisconsin introduced H.R. #1063 to bring needed improvements to the Medicare Secondary Payer Act.  Long overdue, the proposed legislation builds on the coalition’s previous effort last...

Recent Posts

  • Medicare Updates: CMS NGHP Beneficiary Recovery Webinar & Medicare conditional payment “round-up”
  • CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) user guide (Version 5.0) – updated functionality made to the claims listing interface
  • CMS Releases New WCMSA Reference Guide (Version 3.2)
  • CMS releases new NGHP Section 111 User Guide (Version 6.0) and updated accepted/excluded ICD code listings
  • CMS discusses conditional payment appeal issues on its NGHP Applicable Plans webinar

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