About Franco Signor, Blog, Franco Signor News

In December 2017 last year, I attended the Women to Watch conference hosted by CLM/Business Insurance in New York City. During the conference, the newly formed Women to Watch Foundation was introduced to the attendees by the Board of Directors with the common goal of advancing women and girls globally. For the initial two years of its Charter, the Women …
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Blog, Medicare Secondary Payer News, Pharma Part D

Recently, CMS updated its Part D Manual to include specific changes to the Manual’s Medicare Secondary Payer (MSP) provisions.  The updated manual can be found here. Page 40 now provides: “Part D sponsors are responsible for adjudicating enrollees’ claims in accordance with MSP requirements. Under CMS’ adjudication logic for Part D MSP claims, the provider/pharmacy receives at least the Part …
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MAPping Out a Course – An Article by Heather Sanderson

08 Oct 2018 Heather Sanderson No Comments

About Franco Signor, Medicare Advantage Part C

Primary plans must consider best practices as courts rule in favor of MAPs recovering double damages. Read Full Article from CLM Magazine 

Blog, Medicare Jurisdiction, Medicare Set Aside

As of October 1, 2018, both the Non-Group Health Plan (NGHP) User Guide and Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide have been updated with minor changes. The updated NGHP User Guide can be found here and the updated WCMSA Reference Guide can be found here. Below are summaries of the changes in both of the Guides: NGHP User Guide: …
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Blog, Medicare Advantage Part C, Trial Practice

Recall MSP Recovery LLC, a law firm out of Miami, Florida that has been initiating numerous class action litigation country-wide as assignees on behalf of Medicare Advantage Plans (MAPs) alleging that various primary payers have failed to reimburse MAP conditional payments allegedly giving rise to a Private Cause of Action under the Medicare Secondary Payer Act (MSP), specifically located at …
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Uncategorized

Humana is continuing on its mission to establish precedent across the country regarding Medicare Advantage Plans’ (MAPs) ability to pursue a Medicare Secondary Payer (MSP) double damages private cause of action against primary plans that fail to reimburse conditional payments. Just filed is an action by Humana against Bi-Lo, LLC, a grocery retailer, in the U.S. District Court for the …
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