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

This article was originally published in the March 2018 issue of CLM Magazine. A CMS Framework is Coming – Are You Involved?  (A CLM Magazine Article by Roy Franco and Heather Sanderson) For many years, Liability Medicare Set-Asides (LMSAs) have been a hot topic for discussion due to the potential challenges that a Centers for Medicare & Medicaid Services’ (CMS) LMSA review …

Blog, Medicare Set Aside, WCMSA

Click here to read the full announcement. The webinar is scheduled for Wednesday, March 7, 2018 at 1:00 pm ET.

Blog, Medicaid Third Party Liability Recoveries

As we have discussed in numerous blogs and webinars, Medicaid Third Party Liability (TPL) operates at a state level. For a more detailed explanation on Medicaid TPL, click here. In summary, the Centers for Medicare & Medicaid Services (CMS) has required each state to implement TPL legislation and regulation surrounding the recovery of medical payments made by Medicaid, where a …

Blog, Medicare Conditional Payments

Just a reminder that the new Commercial Repayment Center (CRC) contractor goes live today. Click here to read our recent blog on the topic. Click here to download a CRC – NGHP Correspondence Cover Sheet.

About Franco Signor, LMSA

Click here to register to view the recording. Join Roy Franco and Heather Sanderson for their first live/video webinar event on January 31st at 1:30 PM EST. Roy and Heather will be taking on the hot topic of LMSAs, and what payers should be doing right now to gear up for the likelihood of CMS introducing a review policy for …

Blog, Medicare Advantage Part C

Recall that in September 2016, the Eleventh Circuit Court of Appeals ruled that Humana Medicare Advantage may sue a primary plan for failure to reimburse conditional payments under the Medicare Secondary Payer (MSP) private cause of action for double damages. The Eleventh Circuit encompasses the jurisdictions of Florida, Alabama, and Georgia. For our original blog on the Eleventh Circuit Western …

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