Mark Popolizio

Mark Popolizio

Mark Popolizio is the Vice President of MSP Compliance and Policy for ISO Claims Partners. Mark’s area of specialty is Medicare secondary payer compliance. He authors regular articles and provides educational presentations across the country on MSP issues. Mark's e-mail address is mpopolizio@iso.com.

Government Shutdown Ends – Congress and President Reach Deal

In an update to our blog article posted yesterday , the government shutdown has ended. Late yesterday, a bipartisan stop gap spending bill passed in the Senate 81-18, and in the House of...

Medicare Advantage Plans Update: Illinois Court Indicates MAPs Have “Double Damages” Rights

Whether Medicare Advantage Plans (MAPs) have private cause of action (PCA) rights to sue claims payers (and others) for “double damages” under the Medicare Secondary Payer (MSP) statute remains a...

CMS Releases New Section 111 NGHP User Guide (Version 5.3)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 non-group health plan (NGHP) User Guide ( Version 5.3, December 15, 2017 ). This new User Guide replaces...

CMS Maintains its $750 Low Dollar Threshold for 2018

The Centers for Medicare and Medicaid Services (CMS) has released a new Alert entitled “2018 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance and Workers’ Compensation...

Court Declines to Rule On Whether LMSA is Necessary - Cites No Legal Authority for MSAs in Liability Cases

Whether liability Medicare set-asides (LMSAs) are legally “required” continues to be a vexing question for parties settling liability claims. In Silva v. Burwell , 2017 WL 5891753 (D. New Mexico,...

Medicare Part D - The Next Recovery Frontier?

Medicare Secondary Payer (MSP) compliance has historically focused on the interests of traditional Medicare (that is, Medicare Parts A and B). In the wake of the recent In Re Avandia decision out o...

The CMS WCMSA "Amended Review Process" New Opportunity to Reduce WCMSA Allocations and Settle Claims

For years, the Centers for Medicare and Medicaid Services (CMS) has refused to consider medical evidence postdating the original submission date of a Workers’ Compensation Medicare Set-Aside (WCMSA) proposal.

Liability MSA Update

On October 26, 2017, the Centers for Medicare and Medicaid Services (CMS) has released its latest update regarding the LMSA issue. This new notice provides no substantive or policy information...

Countdown to “Full and Final” Settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity, finally, to close out their workers’ compensation claims. Under this new law, parties will now be able to reach “full and final” settlement of certain workers’ compensation claims beginning October 31, 2017.

Court Blocks Medicare Discovery Requests - Ruling limits insurer's ability to determine MMSEA obligations

A new case out of Connecticut highlights complications insurers can encounter in obtaining information to assess their Medicare Secondary Payer (MSP) compliance obligations. In Silver v. Milford...