Crowe Paradis Blog

Medicare True or False?

Spotting MSP Issues Through Real Life Case Examples

Date/Time: March 13, 2012 Two Sessions:

10:00-11:15 a.m. (EST) register here

or

2:00-3:15 p.m. (EST) register here

Crowe Paradis will provide all attendees with a Certificate of Completion. This course, however, is not accredited by the CEU Institute.

Presenter: Mark Popolizio, Esquire Section 111 Senior Legal Counsel

Ms. Smythe is National MSP Sales Consultant for Crowe Paradis Services Corporation. Prior to joining Crowe Paradis, Ms. Smythe's practice areas included the defense of liability and workers' compensation claims. Her clients included national and international corporations, self insured entities, third party administrators and insurance carriers. In the course of the representation of her clients, Ms. Smythe faced the impact of Medicare compliance on claims handling and litigation on a day to day basis and uses this practical knowledge in her current Medicare compliance training.

Breaking Down CMS’ New User Guide, Liability TPOC Reporting Thresholds & Other “Hot Topic” Issues

Crowe Paradis is currently looking for Sales team members across the US.

The Centers for Medicare and Medicaid Services (CMS) will implement a new Self-Calculated Final Conditional Payment Amount option beginning in February 2012 through which Medicare’s “final” conditional payment amount may be obtained prior to certain liability settlements, judgments, awards, or other payments.  This option will be limited to liability cases involving physical trauma injuries where treatment has been completed and which otherwise meet CMS’ qualifying criteria as listed below.

December 14^th CMS Technical & Policy Call

Read our article in the Florida Association of Self Insured's.

The Centers for Medicare and Medicaid Services (CMS) has released a request for proposal (RFP) designated as a “Business Program Operations Contract” related to Medicare Secondary Payer Compliance (MSP).

On November 21, 2011, the U.S. Sixth Circuit Court of Appeals (Judge Kethledge) rendered its long-awaited decision in Hadden v. United States.  In a 2-1 ruling, the court held that Medicare was entitled to recover 100% of its conditional payment demand asserted in this case regardless of the fact that the plaintiff may have received a reduced settlement or that the settlement compensated the plaintiff for only a portion of his damages.  Oral argument on this case was heard last year on October 13, 2010 and CPSC attended the hearing.  After over a year’s wait, the court rejected Hadden’s core argument that Medicare’s conditional payment claim can be reduced based on comparative fault principles.