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Is a MSA required if my client abandons a pending appeal of denial of SSDI...
Question: In the event my client abandons a pending appeal of denial of SSDI to the ALJ prior to settling a claim, is a MSA required? Answer: Thank you for your question. The only time that MSAs are...
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GRG Comments on Florida Supreme Court Proposed Rule
On February 14, 2016, Garretson Resolution Group (GRG) submitted comments to the Florida Supreme Court seeking clarification of a proposed rule which could be interpreted to limit a Florida lawyer’s...
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Medicare Secondary Payer CLE at the NCBA Workers’ Compensation Annual Meeting
For years, there has been debate on the subject of Medicare Set-Asides (MSAs). Are they required or not? How do you calculate them? When do you have to ask the federal government to review and approve...
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California Medicaid Lien Update
Recently, the California Department of Health Care Services (“DHCS”) officially changed its reimbursement procedures for California Medicaid (“Medi-Cal”) beneficiaries. Going forward, DHCS will no...
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Updates to the MSPRP Modification for Inclusion of Final Conditional Payment...
January 1, 2016 is right around the corner and CMS is making final enhancements to its conditional payment web portal to comply with the SMART Act. You can read more about the SMART Act here. You may...
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Benson v. Sebelius: Judicial Justification for Allocating Proceeds Between...
Executive Summary: There has been ample discussion recently about how to identify and satisfy future medical reimbursement obligations associated with the resolution of a claim asserted by a Medicare...
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Injury Board Day of Action – How GRG is supporting children and families in...
When it comes to healing, something as simple as a home cooked meal or spending time with family can make all the difference. To do our part to help improve the health and well-being of children and...
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Non-Group Health Plans Commercial Repayment Center
On August 25, 2015, The Centers for Medicare and Medicaid Services (“CMS”) held a webinar to explain when and how Non-Group Health Plans (“Applicable Plans”) will use the new Commercial Repayment...
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A Short Primer on VA and TriCare Lien Resolution
While Medicare and private / ERISA liens are the focus of much attention and discussion in recent years, other federally-created reimbursement rights and subrogation obligations deserve attention as...
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A Reminder About the Importance of Reimbursing Medicare: United States v. Harris
Recently, we have received several queries from attorneys about reimbursing Medicare. Specifically, the question they ask us is “What happens if I ignore the Medicare “lien issue?” If you are familiar...
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State of Colorado Department of Health Care Policy and Financing v. S.P
Colorado’s Court of Appeals Re-Affirms Equitable Apportionment to Resolve Medicaid Liens On June 18, 2015, the Colorado Court of Appeals decided a case which dealt with the issue of how to determine...
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DRI Nursing Home/ALF Litigation Seminar in Las Vegas
We invite you to join us in Las Vegas this September for the DRI Nursing Home/ALF Litigation Seminar! In addition to a fantastic location and unsurpassed business development opportunities, the2015...
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U.S. Supreme Court Grants Cert in Montanile v. National Elevator – Will the...
This article by GRG’s Michael Russell & Nicholas D’Aquilla was first published in the American Bar Association Health Law News section. Read this article on the ABA website here. In March 2015, the...
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CMS Partial SSN Criteria Change Alert
On June 18th, 2015, The Centers for Medicare and Medicaid Services (“CMS”) issued an alert announcing immediate modification to the current matching criteria when a Responsible Reporting Entity (“RRE”)...
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New Workers’ Compensation Medicare Set-Aside Bill Introduced in 114th...
A recent bill introduced in the United States House of Representatives and the United States Senate addresses future medical expense obligations in workers’ compensation settlements under the Medicare...
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Q&A: How do I protect Medicare’s interest with limited coverage?
Question: My associate has an MVA where there is 15,000 in coverage. The client has an additional $15,000 in uninsured/underinsured (UM) coverage. Client has herniated cervical disc and will...
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PALS Conference 2015 Information Session
We invite all PALS attendees to join us for an informational session on Wednesday, May 13th in the Ravel Room at the PALS Convention. We’ll be there every hour to discuss the launch of a new Asbestos...
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Medicare Secondary Payer Webcast: Best Practices for Defense Counsel
Medicare Secondary Payer: Best Practices for Defense Counsel Presented by DRI’s Medicare Secondary Payer Task Force Thursday May 14, 2015 1:00 PM – 2:30 PM Central The popular MSP Best...
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Join us at the Radius of Influence Conference!
The post Join us at the Radius of Influence Conference! appeared first on Garretson Resolution Group.
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Q&A: I received the Final Demand from Medicare. What is the proper...
Question: After final demand request Medicare sends there Demand amount which is only about 10 % of what we were expecting. They appear to have all the charges listed but tiny amounts paid. When we...
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