Category Archives: Franco Signor News

About Franco Signor, Blog, Franco Signor News, Legal/Legislative News

Session: Important Medicare & Medicaid Changes Primary Plans Need to Leverage for Savings Friday, September 8th / 9:00 – 10:00 am CMS has been actively pursuing conditional payments for close to a decade where there is a settlement, judgment or award. In the fall of 2015, CMS expanded recoveries to include unresolved cases with Ongoing Responsibility for Medical. Given the …

The Grinding Gears of CMS Regulation

27 Jun 2017 John Williams No Comments

Blog, Franco Signor News, Legal/Legislative News, Medicare Conditional Payments, Medicare Reporting Section 111, Medicare Secondary Payer News, Medicare Set Aside

The Grinding Gears of CMS Regulation A CLM Magazine Article by John Williams and Heather Sanderson Personal Injury and No-Fault Payers Should be Aware of Three Compliance Issues  As the Centers for Medicare and Medicaid Services (CMS) faces mounting pressure to address financial challenges, the agency is looking for methods to recover over-payments and ensure that it does not make a …

About Franco Signor, Franco Signor News, Medicaid Third Party Liability Recoveries, Medicare Secondary Payer News

Medicare Advantage Plans, LMSA/NFMSAs, and Medicaid Recovery Rights: What’s on the Horizon?  Medicare Advantage plans are continuing to litigate nationwide to assert their rights to double damages for unreimbursed conditional payments. Class actions are being certified by MAOs to assert these rights against primary payers. CMS is taking steps announced plans toward establishing a voluntary review process for LMSAs and …

Franco Signor MSP Blog Named the Industry’s Best

03 May 2017 Jesse Hamby No Comments

About Franco Signor, Blog, Franco Signor News

Once again in 2017, Franco Signor’s Medicare Secondary Payer compliance blog has been chosen by as the best MSP blog in the industry.  We want to thank all of you who took the time to nominate our blog this year. In addition, we want to thank the thousands of Franco Signor blog readers visiting our site each month. Franco Signor CLO Heather …

Expanded Recoveries on the Horizon

12 Apr 2017 John Williams No Comments

About Franco Signor, Blog, Franco Signor News, LMSA, Medicare Conditional Payments, Medicare Secondary Payer News

In a recent blog, Heather Sanderson highlighted the success of MSP Recovery LLC (Plaintiff) certifying a class of Florida Medicare Advantage Organizations (MAOs) that had claims where a non-group health plan (NGHP) failed to make primary payment.   In the filings, the Plaintiff is indicating that they have access to data from the Defendant, MAO, DMV, ISO, and CMS.   With this …

For Your Consideration – 2017 Best Blogs Nomination

03 Mar 2017 Jesse Hamby No Comments

Blog, Franco Signor News

In 2016, Franco Signor’s Medicare Secondary Payer Compliance blog was honored to be named one of the best blogs of the year by We strive to deliver the most timely and relevant MSP insight in the industry. Through years of experience, the Franco Signor team continues to be on the cutting edge of the most complex legal, claims and regulatory issues facing …

Blog, Franco Signor News, Trial Practice

Title Franco Signor Presents: Settling a claim involving a Medicare beneficiary? Best Practices Must Be Utilized. Description EXPOSURES ARE REAL Upon settlement of a workers’ compensation, liability, or no-fault claim, parties involved must consider both past and future medical expenses. However, reaching a settlement can be challenging when the claimant, the claimant’s attorney, and the carrier want to control the …

Blog, Franco Signor News, Legal/Legislative News, Pharma Part D

On September 24, 2016, legislation was introduced to clarify Part D Drug Plans reimbursement rights under the Medicare Secondary Payer law. The legislation will reinforce for these Plans a clear right of subrogation and improvement in Section 111 MMSEA data for improved coordination. To learn more about the proposed legislation, click here. Congratulations to the Medicare Advocacy Recovery Coalition for …

Blog, Franco Signor News, Medicare Reporting Section 111

SARASOTA/BRADENTON, FL (PRWEB) APRIL 08, 2016 Two of the workers’ compensation industry’s most innovative companies have joined forces to provide a premium client experience for Medicare, Medicaid, and SCHIP Extension Act (MMSEA) reporting services. Both Franco Signor and Tropics Software Technologies have lengthy histories serving the workers’ compensation industry. By combining their years of experience and knowledge, they plan to …

Blog, Franco Signor News, Medicare Conditional Payments

Check out Heather Sanderson’s new article in this month’s Claims Management magazine.  Staying Ahead of the New CMS Conditional Payment Recovery Policies

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