Blog Caselaw, Conditional Payments Kayla Pigeon 7/22/25 Caselaw, Conditional Payments Kayla Pigeon 7/22/25 Litigation Over MAO Recovery Rights Advances as Maryland Court Upholds Assignments Read More Caselaw, CMS Updates Brendon De Souza 3/19/25 Caselaw, CMS Updates Brendon De Souza 3/19/25 The End of the Richardson Waiver: Will CMS Rulemaking Go Unchecked? Read More Conditional Payments, Caselaw Brendon De Souza 3/5/25 Conditional Payments, Caselaw Brendon De Souza 3/5/25 The Remote Brief with Brendon: What Impact Can State Law Have on an Insurance Payer’s Ability to Reimburse Medicare Conditional Payment Liens? Read More Caselaw, Conditional Payments Brendon De Souza 1/29/25 Caselaw, Conditional Payments Brendon De Souza 1/29/25 Another Landmark MSP Decision for State Guaranty Funds: Is a State Guaranty Fund a “Primary Plan” as Defined Under the MSP Act? Read More Conditional Payments, Section 111 Reporting, Caselaw Neha Pellegrino 8/13/24 Conditional Payments, Section 111 Reporting, Caselaw Neha Pellegrino 8/13/24 The Impact on Conditional Payment Obligations after the Sixth Circuit False Claims Act Ruling Read More Caselaw, CMS Updates Brendon De Souza 7/1/24 Caselaw, CMS Updates Brendon De Souza 7/1/24 US Supreme Court Overturns Chevron Doctrine in Monumental Decision Weakening Authority of All Federal Administrative Agencies Read More Caselaw, Conditional Payments Brendon De Souza 3/13/24 Caselaw, Conditional Payments Brendon De Souza 3/13/24 Private Medicare Plans Barred from Pursuing Beneficiaries for Conditional Payment Recovery Read More Caselaw, Conditional Payments, Medicare Set-Asides Heather Sanderson 10/18/23 Caselaw, Conditional Payments, Medicare Set-Asides Heather Sanderson 10/18/23 Indemnified EBMSAs - Nearly 2 Years Post WCMSA Reference Guide Section 4.3: Clarifying the Confusion Read More Conditional Payments, Caselaw Neha Pellegrino 9/5/23 Conditional Payments, Caselaw Neha Pellegrino 9/5/23 Navigating Statute of Limitations in Medicare Advantage Plan Private Cause of Action Claims Read More Conditional Payments, Caselaw, Section 111 Reporting Sanderson Firm 6/13/23 Conditional Payments, Caselaw, Section 111 Reporting Sanderson Firm 6/13/23 In-depth look into Medicare Advantage Plans and the Risk for Double Damages - CLM Magazine Read More Section 111 Reporting, Caselaw, CMS Updates Kristina Bonanno 1/19/23 Section 111 Reporting, Caselaw, CMS Updates Kristina Bonanno 1/19/23 Section 111 Reporting Reminder for Asbestos Exposure Claims Read More Conditional Payments, Caselaw Brendon De Souza 11/29/22 Conditional Payments, Caselaw Brendon De Souza 11/29/22 Nevada Court Confirms that Medicare Conditional Payment Settlement Provisions are “Essential Terms” Read More Caselaw, Conditional Payments Brendon De Souza 10/28/22 Caselaw, Conditional Payments Brendon De Souza 10/28/22 Second Circuit Court of Appeals Joins Eleventh and Third Circuits in Recognizing Medicare Advantage Organizations’ Rights to a Double Damages Private Cause of Action Read More Caselaw, Conditional Payments Heather Sanderson 8/16/22 Caselaw, Conditional Payments Heather Sanderson 8/16/22 11th Circuit Court Deciphers the “Notoriously Complex” Medicare Secondary Payer Act; Determines the Applicable Statute of Limitations for the Double Damages Private Cause of Action to be 4 Years Read More Caselaw, Conditional Payments, Section 111 Reporting Brendon De Souza 7/19/22 Caselaw, Conditional Payments, Section 111 Reporting Brendon De Souza 7/19/22 Eleventh Circuit Court of Appeals Opines that Reporting a Settlement to Medicare Constitutes a Primary Plan’s “Constructive Knowledge” of Conditional Payment Obligations Read More Caselaw, Civil Money Penalties, Conditional Payments, CMS Updates Heather Sanderson 6/22/22 Caselaw, Civil Money Penalties, Conditional Payments, CMS Updates Heather Sanderson 6/22/22 Proposed Legislation Introduced in U.S. House of Representatives Seeks to Eliminate the Medicare Secondary Payer (MSP) Double Damages Private Cause of Action Provision Read More Caselaw, Conditional Payments, CMS Updates Heather Sanderson 6/8/22 Caselaw, Conditional Payments, CMS Updates Heather Sanderson 6/8/22 United States Supreme Court Decides that Florida Medicaid can Recover Liens out of Amounts Allocated in Settlement for both Past and Future Medical Read More Section 111 Reporting, Caselaw, Education & Certification, CMS Updates Heather Sanderson 5/9/22 Section 111 Reporting, Caselaw, Education & Certification, CMS Updates Heather Sanderson 5/9/22 Medicare Section 111 Reporting Responsibilities Debated in Two Recent Case Decisions; Last Chance to Register for Sanderson Firm’s Webinar on this Topic! Read More Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 NY Supreme Court Case Highlights the Importance of Settlement Language in Medicare Beneficiary Settlements Read More Caselaw, Conditional Payments Brendon De Souza 4/10/22 Caselaw, Conditional Payments Brendon De Souza 4/10/22 Sixth Circuit District Court Recognizes Medicare Advantage Organizations’ Rights to Private Cause of Action Read More Older Posts
Caselaw, Conditional Payments Kayla Pigeon 7/22/25 Caselaw, Conditional Payments Kayla Pigeon 7/22/25 Litigation Over MAO Recovery Rights Advances as Maryland Court Upholds Assignments Read More
Caselaw, CMS Updates Brendon De Souza 3/19/25 Caselaw, CMS Updates Brendon De Souza 3/19/25 The End of the Richardson Waiver: Will CMS Rulemaking Go Unchecked? Read More
Conditional Payments, Caselaw Brendon De Souza 3/5/25 Conditional Payments, Caselaw Brendon De Souza 3/5/25 The Remote Brief with Brendon: What Impact Can State Law Have on an Insurance Payer’s Ability to Reimburse Medicare Conditional Payment Liens? Read More
Caselaw, Conditional Payments Brendon De Souza 1/29/25 Caselaw, Conditional Payments Brendon De Souza 1/29/25 Another Landmark MSP Decision for State Guaranty Funds: Is a State Guaranty Fund a “Primary Plan” as Defined Under the MSP Act? Read More
Conditional Payments, Section 111 Reporting, Caselaw Neha Pellegrino 8/13/24 Conditional Payments, Section 111 Reporting, Caselaw Neha Pellegrino 8/13/24 The Impact on Conditional Payment Obligations after the Sixth Circuit False Claims Act Ruling Read More
Caselaw, CMS Updates Brendon De Souza 7/1/24 Caselaw, CMS Updates Brendon De Souza 7/1/24 US Supreme Court Overturns Chevron Doctrine in Monumental Decision Weakening Authority of All Federal Administrative Agencies Read More
Caselaw, Conditional Payments Brendon De Souza 3/13/24 Caselaw, Conditional Payments Brendon De Souza 3/13/24 Private Medicare Plans Barred from Pursuing Beneficiaries for Conditional Payment Recovery Read More
Caselaw, Conditional Payments, Medicare Set-Asides Heather Sanderson 10/18/23 Caselaw, Conditional Payments, Medicare Set-Asides Heather Sanderson 10/18/23 Indemnified EBMSAs - Nearly 2 Years Post WCMSA Reference Guide Section 4.3: Clarifying the Confusion Read More
Conditional Payments, Caselaw Neha Pellegrino 9/5/23 Conditional Payments, Caselaw Neha Pellegrino 9/5/23 Navigating Statute of Limitations in Medicare Advantage Plan Private Cause of Action Claims Read More
Conditional Payments, Caselaw, Section 111 Reporting Sanderson Firm 6/13/23 Conditional Payments, Caselaw, Section 111 Reporting Sanderson Firm 6/13/23 In-depth look into Medicare Advantage Plans and the Risk for Double Damages - CLM Magazine Read More
Section 111 Reporting, Caselaw, CMS Updates Kristina Bonanno 1/19/23 Section 111 Reporting, Caselaw, CMS Updates Kristina Bonanno 1/19/23 Section 111 Reporting Reminder for Asbestos Exposure Claims Read More
Conditional Payments, Caselaw Brendon De Souza 11/29/22 Conditional Payments, Caselaw Brendon De Souza 11/29/22 Nevada Court Confirms that Medicare Conditional Payment Settlement Provisions are “Essential Terms” Read More
Caselaw, Conditional Payments Brendon De Souza 10/28/22 Caselaw, Conditional Payments Brendon De Souza 10/28/22 Second Circuit Court of Appeals Joins Eleventh and Third Circuits in Recognizing Medicare Advantage Organizations’ Rights to a Double Damages Private Cause of Action Read More
Caselaw, Conditional Payments Heather Sanderson 8/16/22 Caselaw, Conditional Payments Heather Sanderson 8/16/22 11th Circuit Court Deciphers the “Notoriously Complex” Medicare Secondary Payer Act; Determines the Applicable Statute of Limitations for the Double Damages Private Cause of Action to be 4 Years Read More
Caselaw, Conditional Payments, Section 111 Reporting Brendon De Souza 7/19/22 Caselaw, Conditional Payments, Section 111 Reporting Brendon De Souza 7/19/22 Eleventh Circuit Court of Appeals Opines that Reporting a Settlement to Medicare Constitutes a Primary Plan’s “Constructive Knowledge” of Conditional Payment Obligations Read More
Caselaw, Civil Money Penalties, Conditional Payments, CMS Updates Heather Sanderson 6/22/22 Caselaw, Civil Money Penalties, Conditional Payments, CMS Updates Heather Sanderson 6/22/22 Proposed Legislation Introduced in U.S. House of Representatives Seeks to Eliminate the Medicare Secondary Payer (MSP) Double Damages Private Cause of Action Provision Read More
Caselaw, Conditional Payments, CMS Updates Heather Sanderson 6/8/22 Caselaw, Conditional Payments, CMS Updates Heather Sanderson 6/8/22 United States Supreme Court Decides that Florida Medicaid can Recover Liens out of Amounts Allocated in Settlement for both Past and Future Medical Read More
Section 111 Reporting, Caselaw, Education & Certification, CMS Updates Heather Sanderson 5/9/22 Section 111 Reporting, Caselaw, Education & Certification, CMS Updates Heather Sanderson 5/9/22 Medicare Section 111 Reporting Responsibilities Debated in Two Recent Case Decisions; Last Chance to Register for Sanderson Firm’s Webinar on this Topic! Read More
Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 Caselaw, Education & Certification, Medicare Set-Asides, CMS Updates Brendon De Souza 5/2/22 NY Supreme Court Case Highlights the Importance of Settlement Language in Medicare Beneficiary Settlements Read More
Caselaw, Conditional Payments Brendon De Souza 4/10/22 Caselaw, Conditional Payments Brendon De Souza 4/10/22 Sixth Circuit District Court Recognizes Medicare Advantage Organizations’ Rights to Private Cause of Action Read More
