Medicare Secondary Payer (MSP)

CMS’s Section 111 penalty proposals are here

Philadelphia law firm reaches settlement with U.S. Department of Justice regarding alleged failure to resolve Medicare conditional payments

Ohio court rules that Medicare Advantage Plans can sue insurers for “double damages” under the MSP

CMS to host town hall meeting to discuss CRC ORM recovery issues related to NGHP claims

Illinois court dismisses Medicare Advantage Plan suit for “double damages” on standing grounds

Liability Medicare Set Asides – Bracing for the Storm

Ninth Circuit: CIGA is not a “primary payer” under the MSP and does not have to reimburse Medicare

Conditional payment updates | Open Debt Reports are back; Pre-PCN worksheets are on hold; and CRC will continue to review all CPL disputes

South Carolina court: Medicare Advantage Plan can sue for “double damages” under the Medicare Secondary Payer statute

Proposed Workers’ Compensation Medicare Set Aside reform bill filed in the U.S. House of Representatives

Seventh Circuit bypasses Medicare Advantage “double damages” question

Release of proposed “future medicals” rules will be delayed

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