• Submit a Referral
  • Rapid Refer
  • Upload Files

Fifth Circuit Also Leaning Toward Allowing Medicare Advantage Plans an MSP Double Damages Private Cause of Action Right

Mar 20, 2018

The U.S. District Court for the Southern District of Texas has issued an opinion in ongoing litigation by Aetna and Humana, both Medicare Advantage Plans (MAPs), against a Plaintiff law firm that represented asbestos trusts. The allegation by Aetna and Humana...

North Carolina Industrial Commission Follows In Re Avandia; Awards MAO Reimbursement

Jun 18, 2015

In a recently argued claim before the North Carolina Industrial Commission, Wallace v. National Vision, 2015 WL 3745634 (June 9, 2015), the parties had to resolve a Medicare Advantage (MAO) reimbursement claim in a disputed case. The injured worker was a MAO...

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

Categories

Archives

Site Terms | Privacy Policy
VERISK ANALYTICS®