Workers’ Compensation Review Contractor Protest
In September of this year the Centers for Medicare & Medicaid Services (CMS) announced the award of a new Workers’ Compensation Review Contractor (WCRC) contract to
Movement in the MSP Compliance Realm? Update on Liability and No-Fault Medicare Set-Asides
In a previous Industry News Bulletin, we noted that CMS seemed to be taking affirmative first steps on Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault
Why does the MSP industry use the phrase “consider and protect” when discussing Medicare’s interest?
Recently you may have seen some back and forth about the plain language of the Medicare Secondary Payer (MSP) Statute found at 42 USC 1395y(b). The discussion focused on
CMS Takes First Steps on LMSAs
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
California Federal Court: CMS May Not Seek Reimbursement for Conditional Payments That are Unrelated to the Claim
On January 5, 2017 in the matter of California Insurance Guarantee Association (CIGA) v. Burwell(i), a Federal Court granted CIGA’s Motion for Partial Summary Judgment
CMS Announces Rollback of Rule Change Impacting Legal Zero MSAs
ExamWorks Compliance Solutions recently issued an Industry News Bulletin concerning an abrupt rule change to a long-standing CMS policy regarding approval of Legal Zero
Federal Appellate Court Holds Medicare Advantage Plan Assignees May Maintain Claims for Reimbursement Against No-Fault and PIP Plans
The 11th Circuit U.S. Court of Appeals, which includes Florida, Alabama and Georgia under its jurisdiction, has found that Medicare Advantage Plans (MAPs) may assign
Medicare Advantage Plans Prevail Again Before a Federal Appeals Court
Double Damages and MAPs – What You Need To Know:
CMS Considers New Effort to Expand MSA Review Process to Liability
The Centers for Medicare and Medicare Services (CMS) is considering expanding the voluntary Workers’ Compensation MSA review process to include review of liability and