Blog 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 Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Final Rule on Medicare Reporting Civil Monetary Penalties Extended 1 Year Until February 2024; CMS Releases Top 10 Section 111 Non-Group Health Plan Reporting Errors Chart Read More Civil Money Penalties, Section 111 Reporting, CMS Updates Sanderson Firm 1/26/23 Civil Money Penalties, Section 111 Reporting, CMS Updates Sanderson Firm 1/26/23 The Coming Storm: CMS Moves Forward with Hefty Civil Monetary Penalties for Noncompliance 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, 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 Section 111 Reporting, CMS Updates Kathy Bell 1/10/23 Section 111 Reporting, CMS Updates Kathy Bell 1/10/23 CMS Posts Updated NGHP User Guide Version 7.0: Starting in July 2023, RREs to Receive Additional Monthly ORM Information Read More Medicare Set-Asides Heather Sanderson 1/10/23 Medicare Set-Asides Heather Sanderson 1/10/23 Heather Sanderson: Workers’ Compensation Claims with Medicare Beneficiaries Do Not Have to be Difficult and Costly Read More Sanderson Firm News Heather Sanderson 12/15/22 Sanderson Firm News Heather Sanderson 12/15/22 A Thank You Note from Heather Sanderson; 2022 Medicare Secondary Payer Year in Review Read More Section 111 Reporting Brendon De Souza 12/7/22 Section 111 Reporting Brendon De Souza 12/7/22 Key Takeaways from Yesterday's CMS’ “Section 111 Reporting” Webinar 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 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/14/22 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/14/22 November Update to WCMSA Reference Guide; CMS to Host Section 111 NGHP Reporting Webinar Read More Medicare Set-Asides, CMS Updates Heather Sanderson 11/2/22 Medicare Set-Asides, CMS Updates Heather Sanderson 11/2/22 CMS Publishes Workers’ Compensation Medicare Set-Aside (WCMSA) Statistics for Fiscal Years 2020-2022: The Current Trend on WCMSA Submissions & What You Need to Know 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 Medicare Set-Asides, CMS Updates Heather Sanderson 10/17/22 Medicare Set-Asides, CMS Updates Heather Sanderson 10/17/22 Proposed Rule on Liability Medicare Set-Asides (LMSAs) Withdrawn, Again 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 Section 111 Reporting, CMS Updates Brendon De Souza 10/3/22 Section 111 Reporting, CMS Updates Brendon De Souza 10/3/22 October Update to NGHP Section 111 Reporting User Guide Read More Medicare Set-Asides, CMS Updates Heather Sanderson 9/21/22 Medicare Set-Asides, CMS Updates Heather Sanderson 9/21/22 The Current Status of Submitted v. Non-Submitted Medicare Set-Asides (MSAs) 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 Newer Posts Older Posts
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
Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Final Rule on Medicare Reporting Civil Monetary Penalties Extended 1 Year Until February 2024; CMS Releases Top 10 Section 111 Non-Group Health Plan Reporting Errors Chart Read More
Civil Money Penalties, Section 111 Reporting, CMS Updates Sanderson Firm 1/26/23 Civil Money Penalties, Section 111 Reporting, CMS Updates Sanderson Firm 1/26/23 The Coming Storm: CMS Moves Forward with Hefty Civil Monetary Penalties for Noncompliance 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, 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
Section 111 Reporting, CMS Updates Kathy Bell 1/10/23 Section 111 Reporting, CMS Updates Kathy Bell 1/10/23 CMS Posts Updated NGHP User Guide Version 7.0: Starting in July 2023, RREs to Receive Additional Monthly ORM Information Read More
Medicare Set-Asides Heather Sanderson 1/10/23 Medicare Set-Asides Heather Sanderson 1/10/23 Heather Sanderson: Workers’ Compensation Claims with Medicare Beneficiaries Do Not Have to be Difficult and Costly Read More
Sanderson Firm News Heather Sanderson 12/15/22 Sanderson Firm News Heather Sanderson 12/15/22 A Thank You Note from Heather Sanderson; 2022 Medicare Secondary Payer Year in Review Read More
Section 111 Reporting Brendon De Souza 12/7/22 Section 111 Reporting Brendon De Souza 12/7/22 Key Takeaways from Yesterday's CMS’ “Section 111 Reporting” Webinar 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
Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/14/22 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/14/22 November Update to WCMSA Reference Guide; CMS to Host Section 111 NGHP Reporting Webinar Read More
Medicare Set-Asides, CMS Updates Heather Sanderson 11/2/22 Medicare Set-Asides, CMS Updates Heather Sanderson 11/2/22 CMS Publishes Workers’ Compensation Medicare Set-Aside (WCMSA) Statistics for Fiscal Years 2020-2022: The Current Trend on WCMSA Submissions & What You Need to Know 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
Medicare Set-Asides, CMS Updates Heather Sanderson 10/17/22 Medicare Set-Asides, CMS Updates Heather Sanderson 10/17/22 Proposed Rule on Liability Medicare Set-Asides (LMSAs) Withdrawn, Again 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
Section 111 Reporting, CMS Updates Brendon De Souza 10/3/22 Section 111 Reporting, CMS Updates Brendon De Souza 10/3/22 October Update to NGHP Section 111 Reporting User Guide Read More
Medicare Set-Asides, CMS Updates Heather Sanderson 9/21/22 Medicare Set-Asides, CMS Updates Heather Sanderson 9/21/22 The Current Status of Submitted v. Non-Submitted Medicare Set-Asides (MSAs) 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
