LexisNexis® Legal Newsroom
Determining Medicare Status - Assessing CMS’ Query Process System in the Bigger Picture of MSP Compliance

By Mark Popolizio, Esquire, Section 111 Senior Legal Counsel, Crowe Paradis Services Corporation Determining a claimant’s Medicare status is an integral part in evaluating one’s compliance obligations under the Medicare Secondary Payer Statute (MSP). When a claimant is identified as a...

Determining Medicare Status - Assessing CMS’ Query Process System in the Bigger Picture of MSP Compliance

By Mark Popolizio, Esquire, Section 111 Senior Legal Counsel, Crowe Paradis Services Corporation Determining a claimant’s Medicare status is an integral part in evaluating one’s compliance obligations under the Medicare Secondary Payer Statute (MSP). When a claimant is identified as a Medicare...

Court Dismisses Suit Seeking to Hold Carrier Liable for Reimbursing Medicare Payments

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 seeking double damages under the Medicare Secondary...

Illinois Court Permits Ex-Wife to Take a Percentage of MSA Account as Part of Divorce Action

By: Mark Popolizio, Esquire, Crowe Paradis Services Corporation In the case of In re Marriage of Washkowiak , 2012 Ill. App. Lexis 151 (Ill. App. 3 Dist., March 7, 2012) the Illinois Appellate Court ruled that a claimant’s former wife was entitled to receive 17.5% of the funds from his Medicare...

Putting the Medicare Cards On the Table: Court Rules That L-MSA Not Required Per the Parties’ Mediation Settlement Agreement

By: Mark Popolizio, Esquire, Crowe Paradis Services Corporation In Bruton v. Carnival Corporation , 2012 U.S. Dist. LEXIS 64416 (S.D. Florida May 2, 2012) the court ruled that a liability Medicare set-aside (L-MSA) was not required as part of the settlement based on the terms of the parties’...

Take Medicare Off That Check: Court Rules That Medicare Not Required to be on Settlement Check

By: Mark Popolizio, Esquire, Crowe Paradis Services Corporation In Hearn v. Dollar Rent A Car, Inc., et. al. , 2012 Ga. App. LEXIS 338 (Ga. Ct. App. March 26, 2012), the Georgia Court of Appeals was called upon to address whether the court could enforce a settlement agreement without Medicare being...

CMS Releases Advance Notice of Proposed Rulemaking in "Future Medical" Situations

By: Marty Cassavoy & Mark Popolizio, Crowe Paradis Services Corporation On May 3, 2012, the Centers for Medicare & Medicaid Services (CMS) provided early notice that it would be publishing proposed rules regarding Medicare Secondary Payer (MSP) compliance obligations in relation to “future...