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

Thanks to an aggressive litigation strategy pursued over the course of the last decade, Medicare Advantage Plans have become a fixture of Medicare Secondary Payer

Medicare Advantage plans have, in many areas, moved aggressively to wield the Medicare Secondary Payer “private cause of action” and obtain reimbursement for payments

Standard operating procedure when settling a personal injury claim: parties should first determine if a plaintiff is a Medicare beneficiary, and once confirmed should

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

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 nearly 4000 words on

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

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

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