An interesting case arose out of the United States Court of Appeals for the Ninth Circuit yesterday. The case is Grimm v. Vortex Marine Constr., No. 18-15104, 2019 U.S. App. LEXIS 11035 (9th Cir. Apr. 16, 2019), and involves an intersection of the Longshore and Harbor Workers’ Compensation Act (LHWCA), and the Medicare Secondary Payer […] Continue
As you may know, the Centers for Medicare and Medicaid Services (CMS) recently added new functionality to the Medicare Secondary Payer Recovery Portal (MSPRP) allowing electronic payments to be made, as discussed here on our blog. Last week, CMS issued a document providing answers to frequently asked questions as related to the new functionality. This […] Continue
On Monday, the U.S. Department of Justice’s (DOJ) Attorney’s Office for the District of Maryland issued a press release concerning a settlement arrangement involving the repayment of conditional payments with the law firm of Meyers, Rodbell & Rosenbaum, P.A., a firm based out of Maryland. The law firm entered into the settlement agreement to resolve […] Continue
Yesterday, CMS released Part II of a set of proposals that CMS indicates “will take significant steps in continuing the agency’s efforts to maximize competition among Medicare Advantage Plans (MAP) and Part D plans.” Part I of CMS’ proposal was released on December 20, 2018 and included proposed updates to the Part C risk adjustment […] Continue
Last week a Medicare Secondary Payer (MSP) case out of the 11th Circuit Court was issued (MSPA Claims 1, LLC v. Scottsdale Ins. Co., No. 18-21525-CIV-MORE, 2018 U.S. Dist. LEXIS 218675 (S.D. Fla. Dec. 12, 2018). The facts of the case essentially mirror recent other cases that we have seen: Plaintiff, MSPA Claims 1, LLC […] Continue