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ECS on MSP

Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance

Appeals Court Declares CIGA Largely Exempt from Medicare Secondary Payer

Appeals Court Declares CIGA Largely Exempt from Medicare Secondary Payer

The Ninth Circuit Court of Appeals ruled yesterday that the California Insurance Guaranty Association (CIGA) is not a “primary payer under the Medicare Act’s secondary

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October 11, 2019
Ask Annie: Mysterious Conditional Payment Demands

Ask Annie: Mysterious Conditional Payment Demands

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

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October 4, 2019
Addition of Open Debt Report Function the MSP Recovery Portal

Addition of Open Debt Report Function the MSP Recovery Portal

Earlier today, The Centers for Medicare & Medicaid Services (CMS) announced the addition of an Open Debt Report function to the Medicare Secondary Payer Recovery Portal

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October 4, 2019
Ask Annie: Converting Lyrica to Pregabalin in a Medicare Set-Aside

Ask Annie: Converting Lyrica to Pregabalin in a Medicare Set-Aside

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

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September 29, 2019
MSP Recovery Takes a Hit

MSP Recovery Takes a Hit

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

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September 10, 2019
Medicare Advantage Case Law 11th Circuit Court of Appeals: Private Cause of Action Update

Medicare Advantage Case Law 11th Circuit Court of Appeals: Private Cause of Action Update

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

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March 29, 2019
Baltimore U.S. Attorney Nabs Law Firm: Obtains $250,000 Settlement with Law Firm that Failed to Reimburse Medicare

Baltimore U.S. Attorney Nabs Law Firm: Obtains $250,000 Settlement with Law Firm that Failed to Reimburse Medicare

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

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March 28, 2019
Rare Summary Judgment Defeat for CMS in Pennsylvania Conditional Payment Case

Rare Summary Judgment Defeat for CMS in Pennsylvania Conditional Payment Case

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

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February 27, 2019
What claims are Section 111 reportable, and when are they to be reported?

What claims are Section 111 reportable, and when are they to be reported?

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

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January 29, 2019
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