Question: My company is settling a liability claim. We are named on the release but are not directly paying the plaintiff who is a Medicare beneficiary. The total amount

Question: We have a case that couldn’t be settled due to a counter-higher in 2014. The claimant’s treatment has decreased dramatically. What options are available for us?

Question: I’ve heard that zero allocations are getting more and more challenging. Please level with me, will Medicare approve a zero allocation in a denied case? If so,

This new column highlights practical ways to resolve critical Medicare Secondary Payer compliance questions. Annie Davidson and other ExamWorks experts will answer

This week we are starting a new feature to highlight practical ways to resolve critical Medicare Secondary Payer compliance questions. Annie Davidson (and occasionally

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 the Centers for

What is supposed to happen and what actually happens for level three conditional payment appeals?

Last week CMS released a change request to modify Medicare’s Common Working File (CWF) to address a new Liability Medicare Set-Aside (LMSA) policy. The announcement