Blog 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 Sanderson Firm News Sanderson Firm 4/4/22 Sanderson Firm News Sanderson Firm 4/4/22 Sanderson Firm Welcomes Leesa Rice as Executive Vice President, Business Development Read More Heather Sanderson 3/23/22 Heather Sanderson 3/23/22 Are Non-Submit MSAs under attack by CMS? Register now for for a CE/CLE requested Webinar on April 27th with Heather Sanderson and Andy Condrey of The Gray Insurance Company, Hosted by CLM Read More Medicare Set-Asides Heather Sanderson 3/21/22 Medicare Set-Asides Heather Sanderson 3/21/22 CMS Updates WCMSA Reference Guide; Provides Much Needed Clarity Around Non-Submit/EBMSAs Read More Brendon De Souza 3/16/22 Brendon De Souza 3/16/22 CMS to Host Webinar on the New “Go Paperless” Feature Available in the Medicare Secondary Payer Recovery Portal Read More Medicare Set-Asides Sanderson Firm 3/9/22 Medicare Set-Asides Sanderson Firm 3/9/22 CHOOSE YOUR PATH: Future Medical Allocations & the Varying Paths to Protecting Medicare’s Interest in Settlements Read More Medicare Set-Asides Heather Sanderson 3/8/22 Medicare Set-Asides Heather Sanderson 3/8/22 Recent Important Medicare Secondary Payer Updates; Don’t miss Sanderson Firm’s Webinar on Medicare Set-Asides on March 15, 2022! Read More Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 CMS Hosts Webinar on WCMSAs; Confirms New Section 4.3 of the WCMSA Reference Guide on Non-Submit MSAs is not a new policy; CMS will Recognize Reasonable Non-Submit MSAs Read More Education & Certification, Medicare Set-Asides Heather Sanderson 2/9/22 Education & Certification, Medicare Set-Asides Heather Sanderson 2/9/22 Statutes v. Regulations v. Memos/Reference Guides: Which Contains the Force of Law as it Pertains to MSAs and MSP Obligations? Read More Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 A Final Rule on Medicare Secondary Payer and Civil Monetary Penalties up to $1000 per day/per claim is Just 1 Year Away: Is Your Claims Organization Prepared? Read More Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 CMS Issues Updated WCMSA Reference Guide with New Section on Non-Submitted MSAs: Sanderson Firm Response and Commentary Read More Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 CMS Moving Toward Full Paperless? January Update to NGHP Section 111 Reporting User Guide Read More Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 CMS Clarifies Prior TPOC Alert in an Update to the NGHP User Guide Read More Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 February 2022 is the new target date for Rulemaking on MSP and Future Medicals: Will we have policy on Liability Medicare Set-Asides (LMSAs) in just 2 months? 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 Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Why Timely Ongoing Responsibility for Medical (ORM) Termination is So Important in MMSEA Section 111 Reporting 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 Sanderson Firm News, Education & Certification Sanderson Firm 10/28/21 Sanderson Firm News, Education & Certification Sanderson Firm 10/28/21 Heather Sanderson's Talk on It’s Settled Podcast, hosted by Ametros, is Now Available 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
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
Sanderson Firm News Sanderson Firm 4/4/22 Sanderson Firm News Sanderson Firm 4/4/22 Sanderson Firm Welcomes Leesa Rice as Executive Vice President, Business Development Read More
Heather Sanderson 3/23/22 Heather Sanderson 3/23/22 Are Non-Submit MSAs under attack by CMS? Register now for for a CE/CLE requested Webinar on April 27th with Heather Sanderson and Andy Condrey of The Gray Insurance Company, Hosted by CLM Read More
Medicare Set-Asides Heather Sanderson 3/21/22 Medicare Set-Asides Heather Sanderson 3/21/22 CMS Updates WCMSA Reference Guide; Provides Much Needed Clarity Around Non-Submit/EBMSAs Read More
Brendon De Souza 3/16/22 Brendon De Souza 3/16/22 CMS to Host Webinar on the New “Go Paperless” Feature Available in the Medicare Secondary Payer Recovery Portal Read More
Medicare Set-Asides Sanderson Firm 3/9/22 Medicare Set-Asides Sanderson Firm 3/9/22 CHOOSE YOUR PATH: Future Medical Allocations & the Varying Paths to Protecting Medicare’s Interest in Settlements Read More
Medicare Set-Asides Heather Sanderson 3/8/22 Medicare Set-Asides Heather Sanderson 3/8/22 Recent Important Medicare Secondary Payer Updates; Don’t miss Sanderson Firm’s Webinar on Medicare Set-Asides on March 15, 2022! Read More
Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 Medicare Set-Asides, CMS Updates Brendon De Souza 2/17/22 CMS Hosts Webinar on WCMSAs; Confirms New Section 4.3 of the WCMSA Reference Guide on Non-Submit MSAs is not a new policy; CMS will Recognize Reasonable Non-Submit MSAs Read More
Education & Certification, Medicare Set-Asides Heather Sanderson 2/9/22 Education & Certification, Medicare Set-Asides Heather Sanderson 2/9/22 Statutes v. Regulations v. Memos/Reference Guides: Which Contains the Force of Law as it Pertains to MSAs and MSP Obligations? Read More
Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 Section 111 Reporting, Civil Money Penalties, CMS Updates Heather Sanderson 1/31/22 A Final Rule on Medicare Secondary Payer and Civil Monetary Penalties up to $1000 per day/per claim is Just 1 Year Away: Is Your Claims Organization Prepared? Read More
Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 Medicare Set-Asides, CMS Updates Heather Sanderson 1/11/22 CMS Issues Updated WCMSA Reference Guide with New Section on Non-Submitted MSAs: Sanderson Firm Response and Commentary Read More
Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 Section 111 Reporting, CMS Updates Sanderson Firm 1/11/22 CMS Moving Toward Full Paperless? January Update to NGHP Section 111 Reporting User Guide Read More
Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 Section 111 Reporting, CMS Updates Brendon De Souza 1/5/22 CMS Clarifies Prior TPOC Alert in an Update to the NGHP User Guide Read More
Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 Medicare Set-Asides, CMS Updates Sanderson Firm 12/19/21 February 2022 is the new target date for Rulemaking on MSP and Future Medicals: Will we have policy on Liability Medicare Set-Asides (LMSAs) in just 2 months? 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
Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Section 111 Reporting, Education & Certification, CMS Updates Heather Sanderson 11/16/21 Why Timely Ongoing Responsibility for Medical (ORM) Termination is So Important in MMSEA Section 111 Reporting 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
Sanderson Firm News, Education & Certification Sanderson Firm 10/28/21 Sanderson Firm News, Education & Certification Sanderson Firm 10/28/21 Heather Sanderson's Talk on It’s Settled Podcast, hosted by Ametros, is Now Available 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
