Blog, Medicare Conditional Payments, Medicare Secondary Payer News, Reimbursements

The California Insurance Guaranty Association (CIGA) is California’s largest workers’ compensation provider as the insurer of last resort for employers who would otherwise not be able to afford the mandatory coverage.  Because it operates for all intents and purposes as an adverse risk pool, it must exercise care in payments it makes for worker’s compensation claims that result.  Consequently, when …

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

During an interview on this past Sunday, President Trump indicated that he does not plan to touch the concept of Medicare; however, he and his administration would be tough on Medicare fraud, waste, and abuse. The timing of this statement by President Trump is coincidental with the United States joining in on a False Claims Act (FCA) whistleblower lawsuit this …

Franco Signor MSP Blog Named the Industry’s Best

03 May 2017 Jesse Hamby No Comments

About Franco Signor, Blog, Franco Signor News

Once again in 2017, Franco Signor’s Medicare Secondary Payer compliance blog has been chosen by as the best MSP blog in the industry.  We want to thank all of you who took the time to nominate our blog this year. In addition, we want to thank the thousands of Franco Signor blog readers visiting our site each month. Franco Signor CLO Heather …

Expanded Recoveries on the Horizon

12 Apr 2017 John Williams No Comments

About Franco Signor, Blog, Franco Signor News, LMSA, Medicare Conditional Payments, Medicare Secondary Payer News

In a recent blog, Heather Sanderson highlighted the success of MSP Recovery LLC (Plaintiff) certifying a class of Florida Medicare Advantage Organizations (MAOs) that had claims where a non-group health plan (NGHP) failed to make primary payment.   In the filings, the Plaintiff is indicating that they have access to data from the Defendant, MAO, DMV, ISO, and CMS.   With this …


In MSPA Claims 1, LLC v. Ocean Harbor Casualty Insurance out of the Eleventh Circuit in Miami-Dade County, Florida, a class has been certified by all Florida Medicare Advantage Organizations (MAOs) against a no-fault insurer for failure to provide reimbursement for Medicare Advantage conditional payments by its enrollees. We have previously blogged about other similar litigation by this Plaintiff (link …

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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