Category Archives: Blog

MSP Recovery LLC and its Attorneys Sanctioned

12 Jun 2018 Heather Sanderson No Comments

Blog, Legal/Legislative News, Medicare Advantage Part C, Trial Practice

If you follow our blog, you will recall an entity called MSP Recovery LLC, a law firm in Miami, Florida which alleges to have received assignments on behalf of various Medicare Advantage Plans (MAPs) to pursue double damages Medicare Secondary Payer (MSP) private cause of action lawsuits and class actions nationwide. The allegation by MSP Recovery in these lawsuits are …
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About Franco Signor, Blog, Medicaid Third Party Liability Recoveries, Medicare Secondary Payer News

Originally published in the June 2018 Issue of CLM Magazine TIME TO GET PAID In 1965, President Johnson signed into law the Medicaid program, establishing the state-based healthcare safety net system in place today. Although since that time Congress has undertaken dozens of efforts to streamline and improve Medicaid, historically there has not been considerable focus to improve states’ Medicaid …
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About Franco Signor, Blog, Franco Signor News

Once again in 2018, Franco Signor’s Medicare Secondary Payer compliance blog has been chosen by workerscompensation.com as one of the best blogs in the workers’ compensation industry. We want to thank all of you who took the time to nominate us. In addition, we want to thank the thousands of Franco Signor blog readers visiting our site each month. Franco …
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Blog, Legal/Legislative News, Medicare Advantage Part C

We have previously blogged about the PAID Act- legislation promulgated by the Medicare Advocacy Recovery Coalition (MARC) which, if passed, would enable Responsible Reporting Entities (RREs) to have insight into Medicare Advantage Plan, Medicare Part D, and Medicaid enrollment information. This data would be provided in the query response file via MMSEA Section 111 Reporting. Franco Signor is proud to be a founding …
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Settlement Contingent Upon CMS Approval of WCMSA: Problematic?

08 May 2018 Heather Sanderson No Comments

Blog, Legal/Legislative News, Medicare Secondary Payer News, WCMSA

A decision just issued out of the Third Circuit Court of Appeal in Louisiana demonstrates the various nuances and obstacles that may be present when entering into a workers’ compensation settlement contingent upon CMS approval of a WCMSA. In Ortega v. Cantu Servs., Inc. 2018 La. App. LEXIS 845 (May 2, 2018), the claimant, a Medicare beneficiary, settled her disputed …
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About Franco Signor, Blog, Franco Signor News

Franco Signor is proud to announce our Chief Legal Officer, Heather Sanderson, has been chosen by Business Insurance magazine as one of the winners of their 2018 Breakout Awards. The awards program, which was introduced last year, recognizes the next generation of insurance industry leaders. Nominations are open to anyone working in the commercial insurance and risk management sector. The …
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Blog, Medicare Conditional Payments

On April 18, 2018, New Jersey Director & Chief Judge of Compensation Russell Wojtenko, Jr. issued a memorandum to all NJ Judges of Compensation, Bar Members, and Court Staff entitled “Medicare Conditional Payments.” In addition to providing background of the requirements of the Medicare Secondary Payer (MSP) Act, the memorandum provides guidance on how parties must report via Section 111 MMSEA Reporting …
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Blog, Medicare Advantage Part C, Medicare Conditional Payments, Medicare Secondary Payer News, Trial Practice

As we have noted in numerous recent blogs, Medicare Secondary Payer (MSP) Private Cause of Action litigation has been on the rise and has grown to be incredibly rampant in the past several years. Innate to this recently popular weapon for double damages against primary plans is the unfortunately vague and ambiguous language in the MSP defining the action. The …
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About Franco Signor, Blog, Franco Signor News

Ventiv Technology is pleased to announce the addition of Franco Signor’s proprietary Medicare, Medicaid, and SCHIP Extension Act (MMSEA) reporting module to their ever-growing suite of services. Ventiv’s advanced CMS (Centers for Medicare & Medicaid Services) solution represents an expanded relationship between two of the claim industry’s most innovative companies. By offering a more seamless user interface for the traditionally complex MMSEA-reporting …
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About Franco Signor, Blog, Medicare Advantage Part C

On April 2, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare Advantage Plan (MAP) and Medicare Part D policy changes which provides the plans “with new tools to improve quality of care and provide more plan choices for MA and Part D enrollees.” CMS estimates that the changes will result in $295 …
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