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/
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
Today, July 1, 2015, CMS issued an alert which states that come October 2015, the Benefits Coordination and Recovery Contractor will be transitioning some of its recovery caseload to a new contractor which ... Read More
In an opinion out of Delaware, Stayton v. Delaware Health Corporation, et.al, 2015 WL 3654325 (June 12, 2015), Delaware's Supreme Court found that the collateral source rule does not apply to payments ... Read More
On June 4, 2015, workers' compensation Medicare Set-Aside (WCMSA) legislation was introduced in both the House and Senate. In identical bills, the House, the bill (HR 4269) was introduced by ... Read More
In November 2014, pursuant to the SMART Act, CMS implemented a process where Responsible Reporting Entities (RREs) could use a partial SSN (last 5 digits) where the RRE was unable to obtain the ... Read More
Rousmaniere: How to Improve Surgical Outcomes Many injured workers who undergo spinal surgery fail to benefit from it. There are two main explanations. One is that the surgeon did a procedure that was not really suited for the spinal problem. ...