Blog
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CMS to Host WCMSA Reporting Webinar on March 25
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting a Workers’ Compensation Medicare Set-Aside (WCMSA) Reporting webinar on Wednesday, March 25, 2026 at 1:00 pm...
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Medicare Advantage Plan’s Conditional Payments Limited by New York Laws
by P. Czuprynski In Claims v. Merchs. Mut. Ins. Co.[1], the Court partially denied Medicare Advantage Plan’s suit over conditional payment reimbursements and highlights a possible defense for carrier/self-insureds to...
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FL Court of Appeal Reverses Class Certification by MSP Recovery for a Third Time
by M. Heberling We have previously written about the challenges MSP Recovery and their subsidiaries have experienced when trying to effectively navigate state procedural requirements and properly establish a claim...
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Highlights from CMS’ Latest Civil Money Penalties Webinar
by F. Fairchok Updated: 01/22/26 - CMS provided a link to slides from their January 15 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. The Centers for Medicare &...
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Settlement Enforced Despite Dispute on Medicare and Medical Lien Terms
by P. Czuprynski In Smith v. Wal-Mart Stores E., LP.[1], a claimant filed a complaint alleging that Wal-Mart and Vestis Services was negligent, resulting in a slip and fall. The...
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CMS Updates NGHP User Guide & 2026 Reminders
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) released an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide on January 5, 2026. The...
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CMS Implements Medicare Set-Aside Data Sharing for Part D Plans
by P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) recently announced that beginning in February 2026, they will share data elements, including specific prescription drug information, with Part...
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CMS to Host MSP and Certain Civil Money Penalties Webinar on January 15
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting a Medicare Secondary Payer (MSP) and Certain Civil Money Penalties (CMPs) informational webinar for Non-Group Health...
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A Cautionary Tale: Cabezas v. Penske Truck Leasing Co.
by B. Smith When it comes to disputes regarding the resolution of conditional liens as part of settlement, the courts will usually defer to settlement terms as their guide. This...