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CMS Issues Final Rule Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses

USA - June 10 2019 On May 23, 2019, CMS issued a final rule regarding Part D expenses and the Agency’s ongoing efforts in lowering the cost of prescription medications…

Senate Bill 135 Amends the Georgia Workers’ Compensation Act to Limit Certain Durable Medical Equipment and Treatments

USA - July 25 2019 Recently, Georgia has amended its Workers’ Compensation legislation to limit certain treatments in non-catastrophic cases. Becoming effective on July…

United States Sues Plaintiff Attorney, Medicare Beneficiary, and the Insurer for Conditional Payments in the Middle District of Pennsylvania

USA - March 21 2019 On February 26, 2019, the Middle District of Pennsylvania addressed a summary judgment motion brought by the United States against parties to a…

Workers’ Compensation Medicare Set-Aside Reference Guide Issued for Spring

USA - April 27 2021 Today CMS issued an announcement that they have released Version 3.3 of the Workers’ Compensation Medicare Set-Aside Arrangement Reference Guide…

How does CMS interpret the three-year Statute of Limitations?

USA - January 16 2020 On Tuesday, January 14, 2020, the CRC had a Town Hall conference in relation to NGHP recovery. The big news coming out of today’s question and answer…

Heather Eversole