Heather Schwartz Sanderson

Heather Schwartz Sanderson, Esq., MSCC, CHPE, CLMP, CMSP Heather is Chief Legal Officer for Franco Signor LLC, the nation's compliance authority for Medicare Secondary Payer (MSP) matters. She has lectured on MSP compliance to the workers’ compensation and liability insurance communities at conferences, associations, and individual offices nationwide. She is a regularly published author on court decisions and legislative reforms involving Medicare Set-Asides, conditional payments, and Mandatory Insurer Reporting issues. Understanding that compliance with the Medicare Secondary Payer Act can be at times complex and frustrating for those that handle claims with Medicare beneficiaries, Heather’s goal is to speak and write with the primary goal being simple and understandable solutions to compliance. Heather can be reached at Heather.Sanderson@francosignor.com Franco Signor's Blog can be found at: http://www.francosignor.com/msp-blog/

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CMS Issues Updated WCMSA Reference Guide Version 2.6: Multiple Important Updates to the WCMSA Submission Process

• 08/02/17

The Centers for Medicare & Medicaid Services (CMS) issued an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide on July 31st, although ...
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Updates in Funding of Future Medical in Workers’ Compensation: Arizona Now Allows for Full and Final Settlements; Opana ER Removed from Market

• 07/24/17

There are two recent updates which may impact workers’ compensation payers looking to finalize and foreclose future medical expenses and which additionally may ...
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It Feels Like Christmas in July: CMS Expands MSA Re-Review Process; Updates WCMSAP User Guide

• 07/11/17

The Centers for Medicare & Medicaid Services (CMS) has followed through on their previously announced intent to expand their Medicare Set-Aside (MSA) Re-Review ...
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CIGA Update: California District Court Rules CMS’ Interpretation of the MSP for Conditional Payments is Unlawful

• 05/05/17

The California Insurance Guaranty Association (CIGA) is California’s largest workers’ compensation provider as the insurer of last resort for employers who ...
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United States Intervenes in Two Whistleblower Lawsuits Against United Health Group for Improper Medicare Payments; Trump Administration Tackling Medicare Fraud, Waste and Abuse

• 05/04/17

During an interview on this past Sunday, President Trump indicated that he does not plan to touch the concept of Medicare; however, he and his administration would be ...
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Class Action Certified by Florida MAOs Under the MSP for Double Damages

• 04/03/17

In MSPA Claims 1, LLC v. Ocean Harbor Casualty Insurance out of the Eleventh Circuit in Miami-Dade County, Florida, a class has been certified by all Florida Medicare ...
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Florida District Court: Beneficiaries Should Not Rely upon Estimated Conditional Payment Amounts

• 03/27/17

In a decision out of the Southern District of Florida, Shapiro v. Secretary of HHS, 2017 U.S. Dist. LEXIS 42278 (March 23, 2017), the District Court affirmed a final ...
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States Looking in Every Corner to Discover Recoveries owed to Medicare and Medicaid

• 03/21/17

A Complaint has been filed in the State of Utah by its Attorney General to force four of its largest asbestos bankruptcy trusts to comply with civil investigative ...
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Another Indication that a CMS Policy for LMSA Reviews is Imminent

• 03/02/17

CMS recently issued documentation signaling that Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) will be notated fields in CMS’ ...
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