On Tuesday, February 26, 2019, the United States District Court for the Middle District of Pennsylvania held that the mere filing of a lawsuit by

There are multiple factors to consider when determining if a claim is reportable and when it should be reported to Medicare. In fact, CMS published

What is supposed to happen and what actually happens for level three conditional payment appeals? At level three of the conditional payment appeals process, you may have a hearing

It is known that Lyrica is a very expensive medication and the price just got higher. Park Davis, a division of Pfizer, Inc. issued a

Earlier this week CMS released an updated version of its WCMSA Reference Guide.  Version 2.9 provides no major substantive policy announcement but it does clarify

A Federal Magistrate in a Massachusetts Federal Court dismissed a Navy veteran’s attempt to have the reliance upon Treasury offsets to collect Medicare conditional payments

A new decision from United States federal court in Connecticut opens the door for Medicare Advantage organizations (MAOs) to use the Medicare Secondary Payer statutes

In September of this year the Centers for Medicare & Medicaid Services (CMS) announced the award of a new Workers’ Compensation Review Contractor (WCRC) contract

CMS announced it will maintain the existing $750 reporting and recovery thresholds for physical trauma-based liability settlements and for no-fault insurance and workers’ compensation settlements,