Blog 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 Conditional Payments, Education & Certification Heather Sanderson 5/9/23 Conditional Payments, Education & Certification Heather Sanderson 5/9/23 Key Takeaways from Sanderson Firm’s Recent Medicare Advantage Plan Conditional Payment Webinar Read More Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 CMS Releases First Formal Non-Group Health Plan (NGHP) Appeals Reference Guide Read More Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Medicare Advantage Plan Conditional Payments Post PAID-Act: The Advantages, Continuing Challenges, and Recommendations on Limiting Double Damages Exposure Read More Conditional Payments, Civil Money Penalties Heather Sanderson 2/27/23 Conditional Payments, Civil Money Penalties Heather Sanderson 2/27/23 Department of Justice Settles Numerous Outstanding Claims Against Plaintiff Law Firm for Alleged Failure to Reimburse Medicare Conditional Payment Debts Read More Conditional Payments, Section 111 Reporting, Education & Certification Heather Sanderson 1/17/23 Conditional Payments, Section 111 Reporting, Education & Certification Heather Sanderson 1/17/23 Heather Sanderson: The PAID Act: Workers’ Comp Payers: Plan to Act on Injured Workers’ Medicare Plan Enrollment Data Pre-Settlement This Year Read More Conditional Payments Stacy Piazza 12/6/22 Conditional Payments Stacy Piazza 12/6/22 The PAID Act Became Effective One (1) Year Ago: Sanderson Firm Observations & Experiences 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 Conditional Payments Sanderson Firm 10/6/22 Conditional Payments Sanderson Firm 10/6/22 Medicare Conditional Payments: What You Need to Know-Efficient Resolution Approaches in Medicare Beneficiary Settlements 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 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Key Takeaways from CMS’ “Go Paperless” Webinar 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 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 CMS Issues Alert Regarding Annual Recovery Thresholds; PAID Act is Now Effective Read More Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 WHOSE ADVANTAGE IS IT? Lack of Clarity Over Applicable Statutes of Limitation Creates Confusion Read More Conditional Payments, Education & Certification Brendon De Souza 11/3/21 Conditional Payments, Education & Certification Brendon De Souza 11/3/21 Medicare Conditional Payment Appeal Considerations for Workers’ Compensation and No-Fault/Liability Payers: Navigating the Multi-Level Appeals Process Read More Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 CMS Issues Alert Regarding Proper Reporting of Policy Limits in No-Fault Claims Read More Newer Posts Older Posts
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
Conditional Payments, Education & Certification Heather Sanderson 5/9/23 Conditional Payments, Education & Certification Heather Sanderson 5/9/23 Key Takeaways from Sanderson Firm’s Recent Medicare Advantage Plan Conditional Payment Webinar Read More
Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 CMS Releases First Formal Non-Group Health Plan (NGHP) Appeals Reference Guide Read More
Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Medicare Advantage Plan Conditional Payments Post PAID-Act: The Advantages, Continuing Challenges, and Recommendations on Limiting Double Damages Exposure Read More
Conditional Payments, Civil Money Penalties Heather Sanderson 2/27/23 Conditional Payments, Civil Money Penalties Heather Sanderson 2/27/23 Department of Justice Settles Numerous Outstanding Claims Against Plaintiff Law Firm for Alleged Failure to Reimburse Medicare Conditional Payment Debts Read More
Conditional Payments, Section 111 Reporting, Education & Certification Heather Sanderson 1/17/23 Conditional Payments, Section 111 Reporting, Education & Certification Heather Sanderson 1/17/23 Heather Sanderson: The PAID Act: Workers’ Comp Payers: Plan to Act on Injured Workers’ Medicare Plan Enrollment Data Pre-Settlement This Year Read More
Conditional Payments Stacy Piazza 12/6/22 Conditional Payments Stacy Piazza 12/6/22 The PAID Act Became Effective One (1) Year Ago: Sanderson Firm Observations & Experiences 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
Conditional Payments Sanderson Firm 10/6/22 Conditional Payments Sanderson Firm 10/6/22 Medicare Conditional Payments: What You Need to Know-Efficient Resolution Approaches in Medicare Beneficiary Settlements 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
Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 4/14/22 Key Takeaways from CMS’ “Go Paperless” Webinar 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
Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 12/16/21 CMS Issues Alert Regarding Annual Recovery Thresholds; PAID Act is Now Effective Read More
Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 Caselaw, Conditional Payments, CMS Updates Sanderson Firm 12/7/21 WHOSE ADVANTAGE IS IT? Lack of Clarity Over Applicable Statutes of Limitation Creates Confusion Read More
Conditional Payments, Education & Certification Brendon De Souza 11/3/21 Conditional Payments, Education & Certification Brendon De Souza 11/3/21 Medicare Conditional Payment Appeal Considerations for Workers’ Compensation and No-Fault/Liability Payers: Navigating the Multi-Level Appeals Process Read More
Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 10/26/21 CMS Issues Alert Regarding Proper Reporting of Policy Limits in No-Fault Claims Read More