New notice pushes back release date to October and makes other changes The Centers for Medicare and Medicaid Services’ (CMS) much anticipated release of proposed rules to address “future medicals” in relation to...
No-Fault Claims
CMS releases new NGHP Section 111 User Guide (Version 5.6)
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July 15, 2019
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 User Guide (Version 5.6, July 1, 2019 ) regarding non-group health plans (liability, no-fault and workers’ compensation). This...
Florida court: No-fault pre-suit notice requirement must be followed before Medicare private cause of action claim can proceed
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June 17, 2019
Over the past several years, there has been an increasing number of lawsuits filed by Medicare Advantage Plans (MAPs) against insurers seeking “double damages” under the Medicare Secondary Payer (MSP) statute’s privat...
Proposed Rules for Addressing Future Medical Obligations to be Released
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December 21, 2018
The Office of Information and Regulatory Affairs (OIRA) recently issued a notice entitled Miscellaneous Medicare Secondary Payer Clarifications and Updates (CMS-6047-P) . This notice indicates that the Centers for...
CMS Retains $750 “Low Dollar” Threshold for 2019
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November 21, 2018
The Centers for Medicare and Medicaid Services (CMS) has released its low dollar recovery threshold for 2019 via an alert dated November 15, 2018. CMS is generally required to publish an annual low dollar threshold...
What now for soft tissue injury claims
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March 1, 2017
On 23 February 2017, less than seven weeks after the government consultation aimed at reducing whiplash claims ended , the Ministry of Justice published part 1 of their response to the consultation . It’s said that pa...