Claims

CMS Extends CRC Transition to February 8, 2018

In October 2017, the Centers for Medicare and Medicaid Services (CMS) awarded the Commercial Repayment Center (CRC) contract to Performant Financial Corporation (Performant). The CRC is the...

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...

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,...

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.

Mind the Gap: Filling the Experience Void in Claims Settlements

The experience shortage on the horizon for insurance carriers has been well documented. Today, less than a third of the current insurance workforce is under 35 years old, 1 and it’s predicted that...

Rhode Island notification process

The Rhode Island Department of Motor Vehicles (DMV) issues three notices to motorists when proof of auto liability coverage is not found for a vehicle.

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...

Illinois ALIR legislation signed

Illinois House Bill 2610 was signed by Governor Bruce Rauner on August 25, 2017.

Dangerous Driving Is Costing Billions

Cars today are safer than ever. Yet Americans are driving more dangerously, and it’s costing billions in property damage and lost quality of life.

Performant Awarded CMS Commercial Repayment Center Contract

It was announced on October 5, 2017, that the Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation (Performant) the Commercial Repayment Center (CRC) contract.