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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Medicare Secondary Payer False Claims Act Update

23 Jan 2017 Heather Sanderson No Comments

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

Lately, we have seen an increase in Medicare Secondary Payer (MSP) False Claims Act (FCA) litigation in Federal courts. Below is an update on two prior existing MSP FCA cases- U.S. ex rel. Kent Takemoto (U.S. Court of Appeals, 2nd Circuit), and Negron v. Progressive (U.S. District Court, New Jersey). Additionally, we have become aware of the now unsealed MSP …
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Blog, Medicare Reporting Section 111

Today, CMS hosted a Town Hall regarding the SSN removal initiative (SSNRI) and its impact to Medicare Secondary Payer processes and particularly MMSEA Section 111 Reporting; For our prior blog on this Town Hall and the SSNRI, click here. There were two parts to the call: In the first segment, CMS explained its overall plan for SSNRI generally and how …
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Blog, Medicare Conditional Payments

Franco Signor always take the position on behalf of our Clients to aggressively dispute unrelated charges related to Medicare’s claim for conditional payment reimbursement.  Our efforts have resulted in well over 90% reductions in charges because of it.  This case, brought by the California Insurance Guarantee Association (CIGA) explains why it is important to remain proactive in managing your conditional …
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