Medicare Advantage Plan News

Appellate Court Revives Medicare Secondary Payer Act Suits by Collection Agents

A federal appellate panel’s ruling opens the floodgates for hundreds of lawsuits filed by collection agents that are seeking billions of dollars in double damages from insurance carriers that are accused of failing to pay for care that ended up …

Court Rejects Deadline Asserted by Insurer in Secondary Payer Act Dispute

Insurers cannot rely on an apparent three-year deadline within the Secondary Payer Act to protect themselves from litigation if they don’t reimburse Medicare for all expenses paid on behalf of a beneficiary, a federal appellate court in Atlanta ruled. The …

MSP Changes Include Penalties, Review Criteria, Double Damages: Viewpoint

As we approach the halfway point of 2019, Medicare Secondary Payer (MSP) continues to be one of the most rapidly evolving areas of compliance in claims. On the horizon are possible significant changes relating to each compliance point: Section 111, …