Author Archives for Shannon Flynn
CMS Now Consistently Requesting Expense Payment Histories
October 26, 2022 2:43 pm Comments Off on CMS Now Consistently Requesting Expense Payment Historiesby J. Mislanovich The Centers for Medicare & Medicaid Services (CMS) WCMSA Reference Guide has...
CMS Withdraws Future Medicals Proposed Rule
October 14, 2022 9:56 pm Comments Off on CMS Withdraws Future Medicals Proposed Ruleby B. Smith The Office of Management and Budget (OMB) posted a notice on its...
CMS Publishes NGHP User Guide Version 6.9
October 6, 2022 2:15 pm Comments Off on CMS Publishes NGHP User Guide Version 6.9by F. Fairchok CMS published an update to the NGHP User Guide on October 3,...
Eleventh Circuit Finds Medicare Advantage Plans Subject to Four-Year Statute of Limitations for Private Cause of Action Claims
August 29, 2022 5:28 pm Comments Off on Eleventh Circuit Finds Medicare Advantage Plans Subject to Four-Year Statute of Limitations for Private Cause of Action Claimsby B. Smith The Eleventh Circuit Court of Appeals dismissed a private cause of action...
Medicare Issues Group Health Plan (GHP) Defense Reference Guide
August 10, 2022 10:40 pm Comments Off on Medicare Issues Group Health Plan (GHP) Defense Reference Guideby P. Czuprynski Recently, Medicare issued a reference guide associated with conditional payment recovery related...
Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Act
July 28, 2022 1:09 pm Comments Off on Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Actby B. Smith The Eleventh Circuit Court of Appeals in MSP Recovery Claims, Series LLC...
CMS Issues WCMSA Reference Guide Version 3.7
July 18, 2022 3:36 pm Comments Off on CMS Issues WCMSA Reference Guide Version 3.7Recently, CMS issued Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 3.7. CMS updated Section...
CMS to Begin Using 2019 Life Table
June 2, 2022 2:07 pm Comments Off on CMS to Begin Using 2019 Life TableStarting June 4, 2022, the Centers for Medicare and Medicaid Services (CMS) will begin using...
Clearing Up Non-Submit MSAs – CLM Magazine
May 31, 2022 3:33 pm Comments Off on Clearing Up Non-Submit MSAs – CLM MagazineCo-Chief Executive Officers Barbara Fairchild and Jon Gunter recently wrote an article for CLM Magazine,...