Industry Insights
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Alves: Lifetime Jurisdiction: Not Just for Asbestosis | 04/19/2021 | |
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| By: Ryan T. Alves | |||
| State: CA | Segment: Top | 0 | |||
| Most professionals working within the California workers’ compensation system for any period of time are familiar with the fact that asbestos claims may continue well beyond the usual five years, after which the WCAB will typically lose jurisdiction. ...Read More | |||
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Anders: CMS Releases Technical Updates to Section 111 User Guide | 01/27/2021 | |
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| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| The Centers for Medicare and Medicaid Services has begun the new year with some updates to its MMSEA Section 111 NGHP User Guide. This guide provides everything and anything you ever wanted to know about mandatory insurer reporting by non-group health plans. ...Read More | |||
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Anders: Celebrex, Abilify Price Drops Trigger MSA Reductions | 12/15/2020 | |
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| By: Daniel Anders | |||
| State: NA | Segment: Top | 0 | |||
| Recently, the lowest average wholesale price of 200 milligram Celebrex and the price of multiple strengths of Abilify dropped dramatically, resulting in major cost savings to Medicare set-aside allocations. ...Read More | |||
| Anders: November CMS Mandatory Reporting and Conditional Payment Updates | 11/30/2020 | ||
| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| Medicare Conditional Payment Appeals Guide In follow-up to its September 2020 webinar on Medicare conditional payment appeals through the Commercial Repayment Center (CRC), CMS converted the slides into an appeals guide. The guide, which can be found ...Read More | |||
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Anders: CMS Rolls Out Updates to User Guide | 10/23/2020 | |
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| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| Earlier this month, the Centers for Medicare and Medicaid released an updated MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting User Guide (Version 6.0). Here are the key updates with analysis and practical implications. ...Read More | |||
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Anders: CMS Provides Notices on Section 111 Reporting, Conditional Payment Processes | 06/18/2020 | |
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| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| The Centers for Medicare and Medicaid Services has recently issued two notices, one pertaining to Section 111 mandatory insurer reporting and one relevant to Medicare conditional payment recovery. ...Read More | |||
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Anders: Federal Court Rules on Plaintiff's Refusal to Provide SSN | 05/20/2020 | |
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| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| A federal magistrate judge got a full education in Section 111 mandatory insurer reporting when a plaintiff refused to provide his Social Security number in a liability settlement with the State of Rhode Island. ...Read More | |||
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Addington: Leap Day Can Be Dangerous | 02/20/2020 | |
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| Source: Brian Addington | |||
| State: TN | Segment: Top | 0 | |||
| One of Tennessee’s most talented actresses was Dinah Shore. Born in Winchester, Tennessee, in 1916 and a Vanderbilt graduate, she went on to fame as a singer and radio, TV and film actress. She was also a huge supporter of the LPGA and was named an honorary member of the LPGA Hall of Fame....Read More | |||
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Anders: CMS Introduces Pre-CPNs and Open Debt Reports | 01/29/2020 | |
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| By: Dan Anders | |||
| State: NA | Segment: Top | 0 | |||
| On Jan. 14, the Centers for Medicare and Medicaid held a town hall to discuss common Commercial Repayment Center (CRC) NGHP ORM Recovery topics. In attendance on the call were various officials from CMS as well as Performant Recovery, the CRC contractor. ...Read More | |||
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Anders: 400-Week Statutory Cap on Care Limits MSAs | 01/09/2020 | |
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| By: Dan Anders | |||
| State: GA | Segment: Top | 0 | |||
| Obtaining Centers for Medicare and Medicaid recognition of state statutory limitations on medical care in order to limit the Medicare set-aside allocation has always proven difficult, but not impossible. ...Read More | |||
