Ask Annie: Do I have a Section 111 Obligation? If so what do I need to do?
Question: My company is settling a liability claim. We are named on the release but are not directly paying the plaintiff who is a Medicare beneficiary. The total amount
Section 111 Civil Money Penalties Proposed Rule Unveiled: The Risk of Getting Section 111 Wrong
The long-awaited proposed rule on Section 111 civil money penalties was unveiled in the Federal Register for public inspection. The draft of the proposed rule can be
Ask Annie: The Amended Review Process in Detail
Question: We have a case that couldn’t be settled due to a counter-higher in 2014. The claimant’s treatment has decreased dramatically. What options are available for us?
Philadelphia U.S. Attorney Nets Another Recovery for Unpaid Medicare Debts
The U.S. Department of Justice (“DOJ”) is ringing in the New Year with the Medicare Secondary Payer Act (“MSPA”). On January 8, 2020, the U.S. Attorney’s Office for the
Ask Annie: Mythical Zero Allocations
Question: I’ve heard that zero allocations are getting more and more challenging. Please level with me, will Medicare approve a zero allocation in a denied case? If so,
OMB Updates Timeline Civil Money Penalty and Future Medical Regulations
That can? It’s still getting kicked. Earlier this week the White House Office of Management and Budget updated the timeline on the release of regulations involving
Baltimore U.S. Attorney Nabs Another Plaintiff’s Firm: Obtains $91,000 Settlement to Resolve Allegations a Firm Failed to Reimburse Medicare
As you may recall, we have been down this road before with a different Baltimore law firm and a Pennsylvania practitioner. Standard operating procedure when settling a
CMS Updates WCMSA Reference Guide: Key Changes in Store
Late on Tuesday October 29th the Centers for Medicare & Medicaid released an update, version 3.0 to its WCMSA Reference Guide (Guide). The new version of the guide