Tag Archive: Medicare Secondary Payer (MSP) Act
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Chevron Deference Overturned: Potential Impacts on MSP Compliance
by B. Smith and P. Czuprynski In Loper Bright Enterprises v. Raimono, 2024 U.S. LEXIS 2882, the United States Supreme Court overturned the way courts were ordered to view federal...
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MSPA Claims/MSP Recovery Not Successful in Eleventh Circuit Appeal – MSP Act Does Not Preempt Insurance Policy or State Law
by J. Mislanovich Recently, the Eleventh Circuit ruled against MSPA Claims/MSP Recovery (MSPR) in MSP Recovery Claims, Series LLC v. United Auto. Ins. Co.[1], finding that the Medicare Secondary Payer...
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Medicare Issues Group Health Plan (GHP) Defense Reference Guide
by P. Czuprynski Recently, Medicare issued a reference guide associated with conditional payment recovery related to group health plan claims. So, if a person has group health coverage AND Medicare...
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Conditional Payments: Recent Wins
By P. Czuprynski After administrative appeals, IMPAXX recently won two claims associated with conditional payments. In both cases, Adjudicators (ALJ) with the Office of Medicare Hearing and Appeals determined Medicare...