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/
The Centers for Medicare and Medicaid Services (CMS) released a technical alert dated May 23, 2016 related to Non-Group Health Plan (NGHP) MMSEA Section 111 reporting. This alert communicates that there are ... Read More
Medicare Advantage Plans have set their sights on a new target for the MSP Private Cause of Action: Plaintiff attorneys representing Medicare beneficiaries. We have previously only seen these causes of ... Read More
In an opinion out of the U.S. District Court for the Middle District of Pennsylvania, Mikiewicz v. Hamorski and Erie Insurance Exchange, 2016 U.S. Dist. LEXIS 58859 (May 3, 2016), the Defendant Erie ... Read More
Modified RFP for WCRC: I previously blogged that CMS had invited bids for an RFP for the contractor that reviews WCMSA submissions, the WCRC. For my prior blogwire article, please click here. Just a few ... Read More
In a decision out of the Court of Appeal of California, Karpinski v. Smitty's Bar, Inc., 2016 Cal. App. LEXIS 277 (April 12, 2016), the Court affirmed the trial court's decision to enforce a ... Read More
In an opinion out of California District Court for the Central District of California, CIGA v. Burwell, 2016 U.S. Dist. LEXIS 34163 (March 16, 2016), California Insurance Guaranty Association ... Read More
The Commercial Repayment Center (CRC) took over a portion of the non-group health plan conditional payment recoveries on October 1, 2015. The CRC is charged with recoveries where the identified debtor is the ... Read More
Anderson v. Burwell, 2016 U.S. Dist. LEXIS 26633 (March 3, 2016), arises out of the United States District Court for the Eastern District of Michigan, Southern Division. It raises many interesting ... Read More
The False Claims Act's (FCA) purpose is to deter fraud upon the U.S. government, and whistleblowers are incentivized to bring such actions due to the potential to recover triple damages against the ... Read More
AIA and PCI Announce Merger Discussions Washington, DC (WorkersCompensation.com) – Two of the insurance industry’s biggest professional organizations announced they will enter into merger talks Wednesday, according to a ...