Hear what our attorneys are saying

01
Nov 2018

Answers by Amy

By Amy Bilton     

  Question:  How much does the Medicare Secondary Payer program really impact the Medicare program?  Does it really make it more likely that Medicare will be around when I am old enough to qualify for this entitlement program? CMS’ most recent Financial Report claimed the Medicare Secondary Payer (MSP) program saved the Medicare Trust Funds
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01
Nov 2018

NAMSAP’s October 2018 Annual Conference

By Rasa Fumagalli     

  I recently attended the annual NAMSAP (National Alliance of Medicare Set-Aside Professionals) Conference along with Amy Bilton and Bill Delaney. The Conference’s agency keynote speaker was Jacqueline Cipa, the Deputy Director, Division of Medicare Secondary Payer Program Operations from CMS. Ms. Cipa discussed the Medicare Secondary Payer recovery process and answered questions from the
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01
Nov 2018

Not So Fast MSPA Claims

By Geraldine Balow     

  In response to the question whether the Medicare Secondary Payer statute preempted the state’s automobile no fault law, the State of Florida Third District Court of Appeal responded with an emphatic No! Ocean Harbor Cas In. v. MSPA Claims (2018 Fla. App. LEXIS 13775) involved the intersection of the law of Florida class actions,
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01
Nov 2018

The Yin and Yang of MSP Compliance in the Disputed Claim

By Rasa Fumagalli     

  The Medicare Secondary Payer Act provides that Medicare is a Secondary Payer when a primary payer has responsibility for payment. Responsibility for payment may be “demonstrated by a judgment, a payment conditioned upon the recipient’s compromise, waiver or release (whether or not there is a determination or admission of liability) of payment for items
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01
Nov 2018

UR: What Is It Good For?

By Julie A. Garrison     

  You may have asked that question lately. In the management of workers’ compensation claims, Utilization Review (UR) provides a process whereby proposed treatment is assessed for medical necessity and reasonableness. In several states, the UR process is mandatory and employers or their claims administrators are required to have a UR program. Some states, like
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