A Maryland personal injury law firm settled for $250,000 with the U.S. to resolve allegations it failed to reimburse certain Medicare payments made to medical providers…
In the wake of the implementation of the European Union’s General Data Protection Regulation (GDPR), businesses worldwide are developing policies and processes to address…
Currently, there are two questions being litigated that involve who can sue under the Medicare Secondary Payer’s (MSP) private cause of action (PCA) provision and when…
Alabama is seeing results from an initiative to reduce uninsured drivers through its electronic DMV automobile liability program.
Data can have many positive applications, but there can also be many risks with increased data dependency. Responsible data stewardship is critical.
When IAIABC published its newest standard for workers’ compensation EDI data reporting, Release 3.1, one thing was certain—compliance would get a lot more complex.
Connecticut is the latest jurisdiction to address whether MAPs have private cause of action (PCA) rights to pursue “double damages” under the MSP statute.
Insurers need to act expeditiously to update their forms that are outdated and ensure that their cancellation and nonrenewal provisions are consistent with the law.
As another new year settles in, we know at least one thing is certain: MSP compliance will continue to present formidable challenges for claims payers.
While most of the headlines focused on the deal’s impact on military expenditures and other issues, the new law also contained an update regarding MSP compliance.
A growing number of states have chosen to implement a more efficient, paperless claims-reporting process by using the IAIABC workers’ comp EDI Standard for first reports…
Historically, state Medicaid agencies have been rather flat-footed in making efforts to identify and recoup erroneous payments from non-group health entities. In recent…
Whether Medicare Advantage Plans have private cause of action rights to sue claims payers (and others) for “double damages” under the Medicare Secondary Payer (MSP)…
Whether liability Medicare set-asides (LMSAs) are legally “required” continues to be a vexing question for parties settling liability claims.
Spurred by a number of favorable court decisions allowing MAPs to sue for “double damages” under the MSP statute, Medicare Part D plans are now beginning to step into the…