Why did you attend the AWCBC Learning Symposium?

• 10/28/13
• Terry Bogyo

I was asked to participate in the AWCBC Learning Symposium in St. John, NB a few weeks ago.  I accepted the offer in part because I believe strongly in the purpose of the event.  Every board has ...
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CMS Releases Updated NGHP User Guide Version 4.0

• 10/23/13
• Heather Schwartz Sanderson

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 ...
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Have there been any Criminal Code convictions for health and safety violations?

• 09/17/13
• Terry Bogyo

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 ...
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Haro v. Sebelius Reversed (in part): Medicare May Seek Upfront Reimbursement of Conditional Payments Despite Pending Appeals/Waivers

• 09/12/13
• Heather Schwartz Sanderson

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 ...
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Recent Meadowbrook Insurance Issues Recalls P/C Carrier Financial Turmoil of Past Years

• 09/09/13
• John D'Alusio

August 5, 2013 News Release: “Following a downgrade of its financial strength ratings (FSR) to “B++” from “A-” by A.M. Best Co., Meadowbrook Insurance Group announced that it ...
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Undocumented Workers: What are the MSA Obligations?

• 08/20/13
• Heather Schwartz Sanderson

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 ...
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Is it time to introduce cone-zone cameras?

• 08/16/13
• Terry Bogyo

It happened again.  Another flag person was hit and badly hurt in another roadway incident.   Another community shocked by the tragedy; another call from police looking for witnesses. Add ...
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CMS Scheduled to Resume Rulemaking on MSP and Future Medicals in September

• 08/01/13
• Heather Schwartz Sanderson

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 ...
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Humana Seeks to Expand Medicare Advantage Plan Reimbursement Rights in Various Jurisdictions

• 07/29/13
• Heather Schwartz Sanderson

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 ...
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