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Mark Popolizio, J.D.

Mark Popolizio, J.D., is vice president of MSP compliance at ISO Claims Partners, a Verisk business. You can contact Mark at mpopolizio@verisk.com.

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March 8, 2017

New development hints at future MSA expansion to liability: CMS updates Common Working File for LMSAs and NFMSAs

CMS has issued a Change Request (CR-9893) to update it's Common Working File regarding both Liability and No-Fault Medicare Set-Aside arrangements.

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January 10, 2017

Breaking: CMS recovery practice ruled improper under the MSP

In CIGA v. Burwell, the court ruled the CMS practice of seeking full reimbursement of a medical provider's single charge was improper under the MSP statute.

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December 16, 2016

CMS releases updated reporting and recovery thresholds with news on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability…

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November 14, 2016

New report reveals Medicare’s “low-dollar” threshold calculations

Medicare calculated its recently revised “low-dollar” recovery and reporting thresholds for liability, workers compensation and no-fault settlements.

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November 10, 2016

CMS to hold town hall call on November 17

The Centers for Medicare and Medicaid Services (CMS) will conduct a town hall teleconference November 17, 2016.

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September 8, 2016

Medicare Advantage Plans allowed to sue no-fault carriers for private cause of action

New ruling likely to lead to more MAP lien claims against PIP insurers.

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June 21, 2016

New front in Medicare Advantage battle: Law firm targeted

We continue to watch closely the expansion of Medicare Secondary Payer (MSP) recovery concepts to cases involving Medicare Advantage Plans (MAPs).

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June 21, 2016

Will CMS expand MSA reviews to liability cases and other claims?

On June 9, the Centers for Medicare and Medicaid Services (CMS) announced that it is considering expanding its voluntary Medicare Set-Aside (MSA).

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June 6, 2016

Settlement language strikes again, new case proves clear provisions are critical

Settlement language is an important aspect of Medicare Secondary Payer (MSP) claims that demands careful consideration.

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February 10, 2016

California Workers' Compensation claims remain open longer than any other state: Breaking down WCIRB’s recent study and how it impacts claims payers

California has the most prolonged workers' compensation medical payouts of any state in the nation, according to a recent study from the Workers’ Compensation Insurance…

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December 31, 2015

New CMS claims payment process begins January 1, 2016

On December 24, 2015, the Centers for Medicare and Medicaid Services (CMS) issued a reminder that its claims payment process for ongoing responsibility for medicals (ORM)…

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December 29, 2015

CMS releases additional information on the new expedited conditional payment process

On December 21, 2015, the Centers for Medicare and Medicaid Services (CMS) released additional information regarding its continued implementation of the new expedited…

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November 19, 2015

CMS to finalize new expedited conditional payment process

The Centers for Medicare and Medicaid Services (CMS) has announced plans to modify its Medicare Secondary Payer Recovery Portal (MSPRP) to include final conditional…

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November 16, 2015

Eye on the courts: Florida’s collateral source rule does not apply to future Medicare payments

In Joerg v. State Farm Mutual Automobile Insurance Co., 2015 WL 5995754 (October 15, 2015), the Florida Supreme Court ruled that a plaintiff’s eligibility for future…

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June 22, 2015

Medicare conditional payment compliance: Myth vs. fact

The statutes and regulations that govern Medicare have been referred to by courts as “the most completely impenetrable texts within human experience.” With the complex…