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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Blog, Medicare Advantage Part C, Pharma Part D, Trial Practice

A new decision was handed down from the U.S. Court of Appeals for the 11th Circuit in the Barbara J. Harvey v. Florida Health Sciences Center, Inc. this month.  Here, the Plaintiff pursued a medical malpractice claim against a hospital for her husband’s death.  The hospital agreed to binding arbitration on the sole issue of damages to avoid a lawsuit. …
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Blog, Medicare Advantage Part C, Pharma Part D

The Medicare Advocacy Recovery Coalition (MARC) is an organization made up of insurance companies, third party administrators, defense firms, plaintiff firms and MSP compliance companies. MARC recently announced an important new legislative initiative. Primary Plans which are plagued unfairly by MSP private cause of action claims would have an important tool at their disposal, once the legislation is introduced and …
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