CMS has released an updated User Guide for NGHPs. Although the User Guide is dated October 7, 2013, it was not released to the public until October 18, 2013. Access to the updated User Guide can be found ... Read More
Two events separated by 17 years came to mind when I was asked the above question recently. The two events may seem unrelated: 26 miners killed in a 1992 Westray mine explosion in Nova Scotia and four ... Read More
Some of us in the industry may remember an interesting case back from May of 2011 where a class of Medicare beneficiaries successfully obtained an injunction against CMS for certain conditional payment ... Read More
I am frequently asked what the Medicare Secondary Payer (MSP) obligations are when a settlement occurs and the claimant/plaintiff alleges that he/she does not have a social security number (SSN) and/or is ... Read More
HHS/CMS is planning to issue a Proposed Notice of Rulemaking (NPRM) sometime in September 2013 regarding Medicare Secondary Payer requirements and Future Medicals. The NPRM is the next step after the ... Read More
I previously provided an update regarding Medicare Advantage Plans (MAPs) and their recovery rights under the MSP on April 24, 2013. Please click here to read my previous article which delves into detail of ... Read More
Court Denies Peyman Heidary Indictment Appeal Sacramento, CA - Former chiropractor Peyman Heidary allegedly owned and oversaw a network of medical clinics to generate fraudulent billings to workers’ compensation and insurance carriers. As a ...