OMB Updates Timeline Civil Money Penalty and Future Medical Regulations

civil money penalty update

That can?  It’s still getting kicked.  Earlier this week the White House Office of Management and Budget updated the timeline on the release of regulations involving Section 111 Civil Money Penalties and post-settlement medical.  We can now anticipate draft regulations involving civil money penalties before the end of the year. The post-settlement medical announcement can… Read more »

Medicare Advantage and Double Damages: Another Domino Falls

Medicare Advantage organizations (MAOs) earned another small victory with a favorable ruling on a motion to dismiss out of Federal Court in Boston. The case, MSP Recovery Series, LLC v. Plymouth Rock Assurance Co., represents another in the continued slow march of decisions that afford Medicare Advantage Plans the right to sue primary payers in Federal… Read more »

2018 MSP Reporting and Recovery Thresholds Remain $750

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, where the no-fault insurer or workers’ compensation entity does not otherwise have ongoing responsibly for medicals. Settlements of $750 or less are exempt from conditional payment recovery as well as… Read more »

Takemoto False Claims Act Case Dismissed

A suit under the Federal False Claims Act against more than 50 insurance stakeholders filed in the U.S. District Court for the Western District of New York has been dismissed. In 2011, Dr. Kent Takemoto filed this action to recover damages and civil penalties on behalf of the United States of America arising from insurers… Read more »