Tag Archive: PAID Act
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Exploring Conditional Payment Litigation
by P. Czuprynski On 7/12/2023, IMPAXX continued its knowledge series on Medicare Secondary Payer Compliance. In our latest session, Lights, Camera, Action: Exploring Conditional Payment Litigation, we discussed recent federal...
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Exploring Different Processes for Medicare Liens: Parts A, B, C, and D
P. Czuprynski Earlier in March, as part of our complimentary knowledge series of webinars on Medicare Secondary Payer Compliance, we reviewed the different search and collection processes for Medicare Parts...
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Medicare Advantage Plans: PAID ACT – Year One
by P. Czuprynski Carriers and self-insureds, or their vendors, have the ability to ask Medicare if a particular claimant is enrolled in Medicare benefits through either an electronic data request or...
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Eleventh Circuit Finds Medicare Advantage Plans Subject to Four-Year Statute of Limitations for Private Cause of Action Claims
by B. Smith The Eleventh Circuit Court of Appeals dismissed a private cause of action claim brought by MSPA Claims 1 LLC (Plaintiff) against insurer Tower Hill (Defendants) finding that...
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Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Act
by B. Smith The Eleventh Circuit Court of Appeals in MSP Recovery Claims, Series LLC v. Metropolitan General Insurance Company, et. al., Case No. 21-11547 (11th Cir. July 18, 2022),...
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Slides Available – CMS’ PAID Act Testing Webinar
CMS recently published a copy of the slides from their September 9 webinar presentation, Provide Accurate Information Directly (PAID) Act Testing, to the What’s New page on CMS.gov. For more...
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CMS Releases Version 5.7 of 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide
The Centers for Medicare & Medicaid Services’ Benefits Coordination & Recovery Center (BCRC) just released version 5.7 of the 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide...
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Key Takeaways from CMS’ PAID Act Webinar
by Frank Fairchok, Vice President of Medicare Reporting Services Last week, CMS hosted a webinar to discuss upcoming changes to Section 111 Reporting for Non-Group Health Plan entities. These changes...
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CMS Updates Model Language Form for SSN/MBI Information
This week, CMS released an updated form to help Non-Group Health Plan (NGHP) Responsible Reporting Entities (RRE) with model language around the collection of Social Security Numbers (SSN) or...