MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 6 days ago

New blog articles detected

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 2 weeks ago

New blog articles detected

  • Comp Laude Award Nominations Are Now Open

    WorkCompCentral is accepting nominations for its 2017 Comp Laude™ Awards.  The awards recognize integrity, excellence, and success in the workers’ compensation industry.  Each year, nominations are received and reviewed by a panel of industry judges, and awards are presented by WorkCompCentral at the annual Comp Laude® Gala. We encourage you to take a moment to […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 2 weeks ago

New blog articles detected

  • Guaranteeing the Uncertain: Reversions and the ROI on a Structured Annuity

    The concept of reversions is a topic that surfaces frequently in our structured settlement department.  These clauses can seem confusing, sometimes made more complicated by uncertain futures; however, they are actually straightforward with tangible benefits associated with them.  There are two primary questions we hear the most when clients are asking how they can recover […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 1 month ago

New blog articles detected

  • FDA Advisory Committee Finds Opana ER Risks Outweigh Benefits

    On March 14, 2017, a Food and Drug Administration (FDA) advisory committee found that the risks associated with use of Opana ER (oxymorphone hydrochloride) outweighed the potential benefits. Opana ER is an opioid pain medication, which was first introduced in 2006 and then reintroduced in a new abuse deterrent formulation in 2012. The new formulation was designed […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 1 month ago

New blog articles detected

  • Jennifer Jordan, Featured Speaker at the 2017 ALFA International Seminar

    This week, Jennifer Jordan, our Chief Legal Officer, will be a featured speaker at the 2017 ALFA International – Workers’ Compensation Practice Group Seminar in Austin, Texas.  Jennifer will be co-presenting with Beth Hostetler of Albertsons-Safeway and will discuss ways to solve Medicare Secondary Payer (MSP) challenges, including ensuring compliance with the Medicare Secondary Payer […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 1 month ago

New blog articles detected

  • MAO Recovery & Courts: Aggressively Pursuing Liens

    On Wednesday, in the second decision of its kind this month, the United States District Court, Southern District of Florida denied in part and granted in part a Motion to Dismiss in a Medicare Advantage Organization (MAO) Medicare Secondary Payer Act (MSPA) recovery claim. MSPA Claims 1, LLC, et al. v. Century Surety Company, No. […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 1 month ago

New blog articles detected

  • CMS to Begin Utilizing 2012 Life Table

    CMS posted a notification on their website that they will begin to utilize the CDC’s Table 1: Life Table for the total population: United States, 2012 on April 1, 2017. This means that for any WCMSA proposal received by CMS, or where any WCMSA case is reopened on or after April 1, 2017 CMS will apply […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 1 month ago

New blog articles detected

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 2 months ago

New blog articles detected

  • WCRC RFP Due Date Revised, Again.

    CMS just issued an additional amendment to the RFP for the WCMSA review contractor. The amendment published additional responses to questions by offerors, and also a change in the due date for proposals to 10:00 am February 15, 2017. The amendment to the solicitation can be found here. Stay tuned for more details.

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 2 months ago

New blog articles detected

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 2 months ago

New blog articles detected

  • WCRC RFP Due Date Revised

    Yesterday, CMS issued an amendment to the RFP for the WCMSA review contractor. The amendment published responses to questions by offerors, and informed offerors that additional answers to questions will be released on January 25, 2017. The amendment also reflects a change in the due date for proposals, to 10:00 am February 8, 2017. The […]

  • Arymo ER – Latest Addition to the Abuse Deterrent Opioids Market

    Last week, the FDA approved Arymo ER, an abuse-deterrent formulation of morphine sulfate extended release tablets, marketed by Egalet Corporation. Arymo ER comes in three dosage strengths: 15mg, 30mg, and 60mg and slated to hit the market first quarter 2017.  Arymo ER is the latest addition to the growing list of abuse-deterrent opiates like Troxyca […]

  • MSP False Claims Action Reaching Its Conclusion

    On January 18, 2017, the Second Circuit Court of Appeals brought an end to Kent Takemoto’s dreams of whistle blower riches. The Court upheld the District Court’s adoption of the Magistrate’s recommendation to dismiss the false claims action, finding that he failed to plead facts as to each defendant’s obligation to repay the government. Although […]

  • 150 Million Medicare Health Insurance Claim Numbers to be Changed to New Medicare Beneficiary Identifier Numbers in 2018

    On Tuesday January 17, 2017, CMS held a special open door forum to discuss the changes and impact of the SSNRI on Medicare Secondary Payer (MSP) stakeholders. Starting April 1st, 2018, CMS will be replacing all Social Security Number (SSN) based Health Insurance Claim Numbers (HICN) with Medicare Beneficiary Identifier (MBI) numbers. Over 150 million […]

  • Inclusion of CT Scans Instead of MRI Scans in WCMSAs for Claimants with Intrathecal Pumps

    It is commonplace for CT scans to be included in WCMSAs, in lieu of MRI scans, for Claimants with implanted intrathecal pumps; however, little thought is given to the reason for this substitution. Intrathecal pumps are small implanted programmable battery powered devices that dispense medication which is carried directly to the spinal cord by a […]

  • CIGA Wins Partial Summary Judgment on Issue of Over-inclusive Reimbursements

    On January 5, 2017, the U.S. District Court for the Central District of California ruled in favor of the California Insurance Guarantee Association (CIGA) in its ongoing challenges against CMS over its MSP practices. After several years and many amended complaints, the only remaining issue in this litigation was CIGA’s allegations that CMS calculates its […]

  • CMS Releases Updated NGHP User Guide

    CMS updated their Non-Group Health Plan (NGHP) User Guide, and released version 5.2.  The updated guide can be found here. The only update to the guide is the change in thresholds for reporting certain cases with total payment obligation to the claimant (TPOC), as indicated in CMS’ recently issued alerts and as previously discussed here […]

  • CMS Special Open Door Forum to be Held

    Yesterday, CMS announced that it will hold a conference call, a Special Open Door Forum, on Tuesday, January 17, 2017 at 3:00 pm EST.  The call will allow Medicare Secondary Payer stakeholders to learn and ask questions about changes involving the Social Security Number Removal Initiative, in general and in the context of MSP reporting. […]

  • FINALLY—The Bid for the Workers’ Compensation Review Contractor (WCRC) Has Been Released.

    CMS finally issued the solicitation for the Workers’ Compensation Review Contractor (WCRC) to review and evaluate workers’ compensation Medicare set-aside arrangements (WCMSA) submitted to CMS for review.  The WCRC’s role is to project future medical costs for those cases submitted as related to a workers’ compensation injury, illness, or disease that would otherwise be reimbursable […]

  • 2017: Shaping Up to Be the Year of CMS Changes

    Just yesterday, CMS announced that in the coming year it will update its existing re-review process to specifically address cases where settlement has not occurred and a Claimant’s care has changed substantially since CMS issued an approval.  In the announcement, CMS also indicated that the re-review process will address situations for states that rely on […]

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 7 months ago

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 7 months ago

MEDVAL, LLC

Category: Content
Type: Blog Article

Generated 8 months ago

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