Blog, Legal/Legislative News, Medicare Advantage Part C

Over the past several years, we have witnessed Medicare Advantage Plans (MAPs) flex their muscles in establishing their rights to recover double damages through a Medicare Secondary Payer (MSP) private cause of action for double damages against “primary plans” (workers’ compensation, liability, and no-fault insurance carriers/self-insured entities) for failure to timely reimburse MAP conditional payments. Well known and important decisions …
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Blog, Legal/Legislative News, Medicare Secondary Payer News, WCMSA

The WCRC, the entity which reviews Workers’ Compensation Medicare Set-Asides (WCMSAs) for the Centers for Medicare & Medicaid Services (CMS) has issued the award to Capitol Bridge LLC, a government services firm with its headquarters in Arlington, Virginia. The award notice is as of September 1, 2017 and can be found here. Noteworthy of the award is that it is for …
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About Franco Signor, Blog, Franco Signor News

Franco Signor was recently named the 1,421st fastest growing private company in the U.S, placing 18th in the entire insurance industry.  This annual list, compiled by Inc. Magazine, ranks the fastest-growing private firms in America.  We are honored to make the 2017 list and expect continued growth, as we strive to better serve clients with an ever expanding array of …
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About Franco Signor, Blog, Franco Signor News, Legal/Legislative News

Session: Important Medicare & Medicaid Changes Primary Plans Need to Leverage for Savings Friday, September 8th / 9:00 – 10:00 am CMS has been actively pursuing conditional payments for close to a decade where there is a settlement, judgment or award. In the fall of 2015, CMS expanded recoveries to include unresolved cases with Ongoing Responsibility for Medical. Given the …
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Blog, Medicare Jurisdiction, Medicare Secondary Payer News, WCMSA

The Centers for Medicare & Medicaid Services (CMS) issued an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide on July 31st, although the Reference Guide is dated July 10, 2017. There are several important changes to note within this new Reference Guide (the new Guide can be located here). We have listed the more noteworthy changes first: Updated Amended Review …
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