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/
Recently, I wrote a blogwire article that CMS had planned to go-live with its pre-settlement final demand functionality on January 1, 2016, but instead CMS has moved it up to December 21st. In its ... Read More
Yesterday, CMS issued an alert which states:
As part of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act), the MSPRP will be modified to include Final CP process functionality by ... Read More
Today, the Supreme Court of Florida issued an opinion regarding Medicare payments and the collateral source rule in John Joerg, Jr., etc. et. al v. State Farm Mutual Insurance Co. (October 15, ... Read More
In an opinion out of the United States District Court for the Eastern District of Tennessee, Cariten Health Plan, Inc. v. Mid-Century Insurance Company, 2015 U.S. Dist. LEXIS 126887 (September 1, 2015 ... Read More
CMS continued its series of webinars on September 17th introducing the CRC to the industry and explaining how it will impact conditional payment recovery processes. I previously blogged on the last CMS ... Read More
A new opinion was just released out of the U.S. District Court for the Southern District of Florida, MSPA Claims 1, LLC v. IDS Property Casualty Insurance Company (August 28, 2015). This case involved MSPA ... Read More
On Tuesday, August 23rd, CMS held a webinar on the transition for Non-Group Health Plans (NGHP) to the Commercial Repayment Center (CRC). A summary follows on how work will be coordinated between the CRC and ... Read More
CMS issued an alert on August 5th which states the following:
On May 9, 2014, the President signed into law the Digital Accountability and Transparency Act (DATA Act). One outcome of this legislation will ... Read More
The Medicare Advantage Plan (MAP) system continues to grow; according to the Kaiser Family Foundation, as much as 31% of the Medicare population in the United States is also enrolled in a Medicare Advantage ... Read More
Ryan Brannan Announces Creation of Brannan Firm Austin, TX (WorkersCompensation.com) - Ryan Brannan, former Commissioner of Workers’ Compensation in Texas and Advisor to Governor Rick Perry, today announced the founding of The Brannan Firm, which ...