By Teddy Snyder, Esq., Ringler Associates - Beverly Hills, CA
1. MMSEA reporting makes approval unnecessary for Medicare beneficiaries.
Reporting under the Medicare, Medicaid and S-Chip Extension Act, aka “section 111 reporting”, started...
This year marks the 10th anniversary of the Patel Memo , the memo that launched the Medicare Secondary Payer industry. We are forced to look back over the past decade and recognize just how far we have come.
As the late, great Jerry Garcia would say...
By Robert G. Rassp, Esq.
The following email string is true, accurate and correct. It is a typical email string between an applicant’s attorney and a defense attorney. We all have cases like this in our inventories.
In this case, the Applicant...
By Mark Popolizio, Esquire Section 111 Senior Legal Counsel Crowe Paradis Services Corporation
The Centers for Medicare and Medicaid Services (CMS) will implement a new Self-Calculated Final Conditional Payment Amount option beginning in February 2012...
By: Mark Popolizio, Esquire
In Caldera v. Insurance Company of State of Pennsylvania , No. C-11-321, 2012 U.S. Dist. LEXIS 12888 (S.D. Texas February 2, 2012) a claimant filed a private cause of action claim against the workers’ compensation carrier...
It is important to be familiar with the criteria for reporting to avoid being late in adhering to the MMSEA Section 111 requirements. The determination of whether to submit a claim is dictated by two criteria, both of which must be met to require reporting...
Lexis.com subscribers can link to the cites below.
As any participant in the workers’ compensation system over the past ten to fifteen years can tell you, if you want to discuss a Compromise and Release, you will likely also have to consider...
By Jennifer C. Jordan, Esq., General Counsel, MEDVAL, LLC
Medicare set-asides have become an albatross for all insurers. And despite all their efforts to do exactly what CMS wants in the interest of protecting the Medicare Trust funds, CMS is constantly...