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Medicare narrows required reporting by insurers; Town Hall reveals disconnect with insurers on key questions regarding pre-1980 exposures
- Wiley Rein LLP
- -
- USA
- -
- April 15 2013
On April 9, 2013, the Centers for Medicare & Medicaid Services (CMS) held its first Town Hall Teleconference of the year for Non-Group Health Plans
Congress passes long-awaited reforms to the Medicare secondary payer recovery process, including elimination of SSN reporting, but built-in regulatory delays could postpone insurer relief
- Wiley Rein LLP
- -
- USA
- -
- January 4 2013
Both the Senate and the House have passed year-end legislation amending the Medicare Secondary Payer (MSP) statute and reforming the process by which
House Committee moves SMART Act forward; Medicare reaffirms position on mandatory insurer reporting under accident & health and short-term travel policies
- Wiley Rein LLP
- -
- USA
- -
- September 25 2012
Legislation designed to fix problems with the Medicare Secondary Payer (MSP) process has moved forward in the U.S. House of Representatives while the Centers for Medicare & Medicaid Services (CMS) continues to dig in its heels on its questionable interpretations of existing MSP law
CMS releases revised NGHP user guide but fails to provide expected guidance on important unresolved Section 111 issues
- Wiley Rein LLP
- -
- USA
- -
- July 6 2012
On July 3, 2012, the Centers for Medicare & Medicaid Services released version 3.4 of the Medicare, Medicaid and SCHIP Extension Act Section 111 Medicare Secondary Payer Mandatory Reporting Liability Insurance (Including Self- Insurance), No-Fault Insurance and Workers' Compensation User Guide
GAO and federal court weigh in on Section 111 infirmities but it's business as usual for CMS during town hall call
- Wiley Rein LLP
- -
- USA
- -
- April 27 2012
The most newsworthy Section 111 developments come from a federal District Court that recently declared a legal malpractice insurer not to be a Responsible Reporting Entity (RRE) and the U.S. Da Silva Moore
First Section 111 Town Hall of 2012 highlights need for further clarification of reporting responsibilities and frustration over improper claim denials for which insurers are taking the heat
- Wiley Rein LLP
- -
- USA
- -
- February 29 2012
On February 24, 2012, the Centers for Medicare & Medicaid Services (CMS) held the first Section 111 Town Hall Teleconference of the year for Non-Group Health Plans (NGHPs
Section 111 reporting apparently delayed for "certain" payments
- Wiley Rein LLP
- -
- USA
- -
- September 30 2011
The Centers for Medicare & Medicaid Services has, apparently, again delayed mandatory insurer reporting under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) for "certain" liability insurance (including self-insurance) settlements, judgments, awards, or other payments
Further delay of Section 111 mandatory insurer reporting remains a real possibility
- Wiley Rein LLP
- -
- USA
- -
- September 22 2011
During the September 21, 2011 Town Hall teleconference held by the Centers for Medicare & Medicaid Services (CMS), callers asked CMS if it would again be delaying the implementation of mandatory insurer reporting for certain Non-Group Health Plans (NGHPs) under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007
Stricker court adheres to dismissal of Medicare claims against liability insurers and others; rejects government's continuing accrual and tolling arguments
- Wiley Rein LLP
- -
- USA
- -
- August 18 2011
In a significant victory for liability insurers and others, on Friday, August 12, 2011, United States District Court Judge Karon Owen Bowdre rejected the United States' motion to reconsider her September 30, 2010 order dismissing on statute of limitations grounds the Medicare recovery claims brought against the attorneys representing the Abernathy plaintiffs, the chemical companies sued in Abernathy as the alleged tortfeasor defendants and the chemical companies' liability insurance carriers
Coverage insights - July 21, 2011 - Medicare secondary payer issues heat up for insurers
- Wiley Rein LLP
- -
- USA
- -
- July 21 2011
In recent rulings, courts increasingly are addressing claims concerning insurer rights and obligations under the Medicare secondary payer scheme
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- Jurisdiction - USA

- Workarea - Insurance & Reinsurance

- Workarea - Healthcare

- Firm Name - Wiley Rein LLP

- Author - Laura A. Foggan

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