- 07
- Nov
- 2016
SOMETHING FOR ALABAMA EMPLOYERS TO CONSIDER WHEN THINKING ABOUT $0 MSA
SOMETHING FOR ALABAMA EMPLOYERS TO CONSIDER WHEN THINKING ABOUT $0 MSA In recent weeks Zero Dollar Allocation MSAs came into question. Initially it was thought that on any claim, …
Read More- 27
- Sep
- 2011
Medicare Interests Considered Protected Despite Lack of CMS Review
Recently in a case in Arkansas dealing with the Longshore and Harbor Workers' Compensation Act, a Federal Court ruled that Medicare’s interests were considered and protected based…
Read More- 30
- Aug
- 2011
The Medicare Secondary Payer Charitable Foundation Announces Free Professional Medicare Set Aside Administration for Qualified Beneficiaries
The Medicare Secondary Payer Charitable Foundation(MSPCF), a not-for-profit organization, recently announced that it will provide free professional Medicare Set Aside (MSA) Admini…
Read More- 26
- May
- 2011
CMS Reiterates and Clarifies Its Policy Regarding Workers Compensation Medicare Set Aside Proposal Review Thresholds
The Centers for Medicare and Medicaid Services (CMS) has released a new policy memorandum dated May 11, 2011 (May 11, 2011 memo) pertaining to workers’ compensation Medicare Set A…
Read More- 02
- Mar
- 2011
Employer Ordered to Continue to Pay Medical Benefits Despite Settlement of Same Where CMS Declines to Accept Proposed MSA Trust Allocation
ArvinMeritor, Inc. v. Clifton Johnson: On February 25, 2011, the Alabama Court of Civil Appeals released an opinion concerning the responsibilities of an employer when CMS fails t…
Read More- 17
- Jun
- 2010
CMS New Policy Changes Announced in May 2010 Memo
CMS’ new policy memorandum addresses the separate issues of (a) off label and/or unlabeled outpatient drug uses and (b) rated ages in relation to the agency’s Workers’ Compensat…
Read More- 27
- Jan
- 2010
MEDICARE TAKING AGGRESSIVE STAND ON RECOVERY OF CONDITIONAL PAYMENTS
In December of 2009, Medicare filed a lawsuit in the U.S. District Court for the Northern District of Alabama seeking to recover conditional payments it made to medical providers …
Read More- 27
- May
- 2009
REPRESENTATIVE TANNER REINTRODUCES WC MEDICARE SET-ASIDE REFORM
Representative John Tanner, of Tennessee’s 8th Congressional District, recently reintroduced the Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of 20…
Read More- 08
- Apr
- 2009
CMS TO INDEPENDENTLY PRICE AND CALCULATE FUTURE PRESCRIPTION DRUG TREATMENT
On April 3, 2009, the Centers for Medicare and Medicaid Services (CMS) issued a formal memorandum stating that it will start independently pricing future prescription drug treatme…
Read More- 25
- Mar
- 2009
POSSIBLE DEFENSE ATTORNEY IMMUNITY TO CMS LIABILITY
Here is an update to ”http://www.alabamaworkerscompblawg.com/template_permalink.asp?id=118” a post made late last year about the Protocols v. Leavitt case. In this case a company …
Read More- 26
- Feb
- 2009
CMS PURSUES RECOVERY DIRECTLY AGAINST ATTORNEY
United States of America v. Paul J. Harris, United States District Court, Northen District of West Virginia, Civil Action No. 5:08CV102: In this pending case, the U.S. government …
Read More- 16
- Dec
- 2008
CMS SUED OVER MEMORANDUM OPINION
BACKGROUND: On July 11, 2005, the Centers for Medicare and Medicaid Services (CMS) released its sixth policy memorandum with answers to frequently asked questions (FAQ’s) on Work…
Read More
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