An important Howell-related decision, State Farm Auto Ins. Co. v. Huff (June 11, 2013), was published today by the California Appellate Court, Fourth Appellate District, Division One, holding that enforcing a lien under the Hospital Lien Act ( C.C. Section 3045.1, et seq.) requires a hospital to demonstrate the reasonableness and necessity of its claimed …
Earlier today, the California Court of Appeal, Second Appellate District, Division Three, issued its opinion in the matter of Corenbaum v. Lampkin, holding, inter alia, that “evidence of the full amount billed [for past medical services] is . . . inadmissible for the purpose of proving noneconomic damages.” The decision is highly significant inasmuch as …
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: …
The Medicare Secondary Payer Recovery Portal is expected to go live in June of 2012.
The LA Superior Court recently announced a $30 millon reduction plan in further response to the budget cuts they’ve encountered over the past ten years. As a result of the reduction, 24 civil courtrooms will close, and, effective May 15, 2012, the court will no longer provide court reporters for civil trials. Therefore, counsel and …
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 …