CMS releases Section 111 NGHP User Guide (Version 6.9) – updates relate to Section 111 excluded/valid diagnosis codes for 2023, SP31 error, and other items
In an important new MSP decision, the U.S. Circuit Court of Appeals for the Eleventh Circuit in MSPA Claims 1, LLC v. Tower Hill Prime Insurance Co.
In a significant development on the TPLF front, on May 27, 2022, Illinois Governor J.B. Pritzker (D) signed into law the Consumer Legal Funding Act.
In an interesting development to watch, on June 28, 2022, the Delaware State Senate passed Delaware Senate Concurrent Resolution No. 127.
In a major MSP compliance development, the RAMP Act was introduced into the United States House of Representatives on June 14th.
The Court rejected the plaintiff’s argument that Medicaid’s recovery was limited to only that portion of the settlement representing past medical care.
In Illinois Insurance Guaranty Fund v. Becerra, 2022 WL 1438506 7th Cir. May 6, 2022, the United States Seventh Circuit Court of Appeals affirmed a lower court decision.
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on April 13, 2022 at 1:00 p.m. EST.
CMS has released a notice advising that MSP recovery debts may now be paid using ACH transactions.
The OIRA website indicates that CMS’s long-awaited S111 CMP “final rule” and their “Future Medicals” proposals are completed and are now pending OIRA review for release.
On February 17, 2022 the Centers for Medicare and Medicaid Services (CMS) held a webinar session to address workers’ compensation Medicare set-aside (WCMSA) issues.
The Centers for Medicare and Medicaid Services (CMS) will discuss a variety of topics related to Workers’ Compensation Medicare Set-Asides (WCMSAs).
Third-party litigation funding is an issue that certainly warrants monitoring in 2022.
On January 10, 2022, the United States Supreme Court heard oral argument in the case Gallardo by and through Vassallo v. Marstiller (No. 20-1263).
Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022).
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