Kate Riordan

Kate Riordan

Kate Riordan is the director of Medicare Secondary Payer (MSP) initiatives at ISO Claims Partners. She has well over five years of experience in completing Medicare Set-Asides and obtaining CMS approvals, with a concentration in California claims. Kate graduated Bowdoin College and Suffolk University Law School and is a Medicare Set-Aside Certified Consultant.

Expansion of Medicaid Secondary Payer Poses New Compliance Challenges

After numerous delays, it appears inevitable that the expansion of Medicaid Secondary Payer rights will begin on October 1, 2017. The 2013 Bipartisan Budget Act (H.J. Res. 59; Pub. L. 113–67) included the provision to enable states to recover Medicaid expenditures from an entire settlement amount, rather than just those dollars apportioned to medical expenses, as previously held by case law. However, legislative delays resulted in implementation being postponed from October 1, 2014, to this year.

Arkansas passes bill affecting future medical benefit settlements for Medicare beneficiaries

The Arkansas Legislature quickly moved a relatively unknown bill addressing workers’ compensation settlements in the final days of its 2017 legislative session, passing it on March 31. Senate Bill...

SPARC Act Reintroduced in Congress

On February 16, Congressman Tim Murphy (R-PA) reintroduced H.R. 1122, the Secondary Payer Advancement, Rationalization, and Clarification Act, or SPARC Act . Originally filed last September, the...

Important SSNRI News at CMS Forum

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security numbers (SSNs) from Medicare cards before the...

The SPARC Act may have implications for future Medicare Advantage Plan rulings

On September 22, Congressmen Tim Murphy (R-PA) and Ron Kind (D-WI) introduced legislation designed to clarify the Medicare Secondary Payer (MSP) standing on Medicare Part D plans. Text of the new...

MSP Statute Extends Its Reach in the 11th Circuit: Foreshadowing for Liability MSAs?

In our first blog post on this topic, we outlined the new and emerging risks and complications presented by Medicare Advantage Plans (MAPs). As previously indicated, the 11th Circuit Court of Appea...

The Impact of Medicare Advantage Plans on Your Claims: The Risk of Double Damages and Summary Judgment

As outlined in our previous blog post , the 11th Circuit Court in a 2-to-1 decision joined the Third Circuit in finding that Medicare Advantage Plans do have private cause of action rights under th...

Untangling the confusion of Accident & Health policies

Medicare compliance often requires that different policy types be grouped together into one set of claims. It’s the practice of the Centers for Medicare & Medicaid Services (CMS) to pigeonhole...

Medicare Secondary Payer Implication Indicated in Proposed 2017 Budget

While most eyes were on the New Hampshire primary, President Obama unveiled his eighth and final White House budget on Tuesday, February 9, 2016. The President’s fiscal year (FY) 2017 budget, which...

California becomes fifth state to require closed drug formulary for workers' compensation claims

California Governor Jerry Brown has signed Assembly Bill No. 1124 , which mandates that the Division of Workers’ Compensation (DWC) implement a prescription drug formulary by July 1, 2017. The bill...