Tag Archive: conditional payment
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Magistrate Denies Conditional Payment Reimbursement Request by MAP Plan
by P. Czuprynski In Series v. State Farm Mut. Auto. Ins. Co., 1:23 CV 22982 (July 15, 2025), the Magistrate Judge agreed that Series’ suit for conditional payment reimbursement should...
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What to Know About Section 111 Audits
by B. Smith Section 111 audits are an important cost-containment measure to prevent potential Civil Money Penalties (CMPs) and conditional payment exposure. However, the thought of an audit can be...
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CMS Will Maintain $750 Recovery Threshold for 2023
The Centers for Medicare & Medicaid Services (CMS) is required to publish an annual threshold for recovery each year. This threshold amount reflects an amount for which CMS will...