New Case Holds Medicare Part C & D Plans Have Right to Private Cause of Action Under MSP ear Friends and Colleagues: A significant new case from the Third District, In Re Avandia Marketing, etc., (Humana and other similarly situated plans) (Lexis 13230) has confirmed something we have seen coming given several recent CMS memos: …
As I reported last Thursday, I received information from MSPRC on May 12, 2011 that the agency had placed an immediate moratorium on processing of Final Demands for Reimbursement and the new document entitled “Conditional Payment Demands”, both of which purport to require beneficiaries to reimburse Medicare for conditional payments attributed to a liability event …
