Blog, Legal/Legislative News, Medicare Conditional Payments, Medicare Secondary Payer News, MSPRC Appeals

In a decision out of the Southern District of Florida, Shapiro v. Secretary of HHS, 2017 U.S. Dist. LEXIS 42278 (March 23, 2017), the District Court affirmed a final decision of the Medicare Appeals Council (“MAC”) rejecting a Medicare beneficiary’s challenge to Medicare’s conditional payment recovery. The Medicare beneficiary Plaintiff, Barbara Shapiro (“Shapiro”), was injured in an automobile accident with …
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Blog, Legal/Legislative News, Medicaid Third Party Liability Recoveries, Medicare Jurisdiction, Medicare Secondary Payer News, Medicare Set Aside

A Complaint has been filed in the State of Utah by its Attorney General to force four of its largest asbestos bankruptcy trusts to comply with civil investigative demands (CIDs) seeking information regarding whether the trusts were failing to reimburse Medicare and Medicaid for medical expenditures. The Complaint was filed March 7th in Salt Lake City. A copy of the …
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For Your Consideration – 2017 Best Blogs Nomination

03 Mar 2017 Jesse Hamby No Comments

Blog, Franco Signor News

In 2016, Franco Signor’s Medicare Secondary Payer Compliance blog was honored to be named one of the best blogs of the year by workerscompensation.com. We strive to deliver the most timely and relevant MSP insight in the industry. Through years of experience, the Franco Signor team continues to be on the cutting edge of the most complex legal, claims and regulatory issues facing …
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Blog, Franco Signor News, Trial Practice

Title Franco Signor Presents: Settling a claim involving a Medicare beneficiary? Best Practices Must Be Utilized. Description EXPOSURES ARE REAL Upon settlement of a workers’ compensation, liability, or no-fault claim, parties involved must consider both past and future medical expenses. However, reaching a settlement can be challenging when the claimant, the claimant’s attorney, and the carrier want to control the …
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Blog, LMSA, Medicare Set Aside

CMS recently issued documentation signaling that Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) will be notated fields in CMS’ Common Working File (CWF). Effective October 1, 2017, Medicare Administrative Contractors (MACs) will begin denying payment for services associated with an open LMSA or NFMSA record. The CMS Manual Update can be found here, and the MLN Matters alert …
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Part D MSP Reform Legislation Re-Introduced in Congress

20 Feb 2017 Heather Sanderson No Comments

Blog, Legal/Legislative News, Pharma Part D

On Thursday, February 16, Congressman Tim Murphy (R-PA) and Congressman Ron Kind (D-WI) re-introduced the Secondary Payer Advancement, Rationalization, and Clarification Act (SPARC Act – H.R. 1122) into the US. House of Representatives. For our prior blog and a detailed overview of the SPARC Act, click here. For Congressman Tim Murphy’s press release on the SPARC Act’s re-introduction, click here. …
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