News

MARC Coalition Applauds Passage of H.R. 4302, Deferring Implementation of the Murray-Ryan Medicaid “Allocation” Provision

04/10/2014

The Medicare Advocacy Recovery Coalition (MARC) applauds the Congress for protecting Medicaid beneficiary rights with the recent passing of H.R. 4302, (SGR Doc Fix). Section 211 of this important legislation included a provision deferring until October 2016 the implementation of section 202(b) of the Murray-Ryan Budget Agreement, which negatively altered the balance of Medicaid secondary […]

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CMS to Merge Two Conditional Payment Units in 2014

12/31/2013

The U.S. Centers for Medicare and Medicaid Services will officially merge the Coordination of Benefits and Medicare Secondary Payer Recovery teams into a single unit, which should save workers’ compensation attorneys several phone calls a year on conditional payment issues. CMS announced on Dec. 23 that it will launch the Benefits Coordination and Recovery Center […]

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CMS Rolls Out Proposed Appeals Process for Recovery Actions

12/27/2013

The Centers for Medicare and Medicaid Services on Thursday announced plans to seek comments on proposed rules to implement the first appeals process for insurers and self-insured employers targeted for recovery actions in workers’ compensation, liability and no-fault settlements to meet the requirements of the Strengthening Medicare and Repaying Taxpayers (SMART) Act of 2012. CMS […]

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Insurers Stress ‘Good-Faith’ Exception to CMS Reporting Penalties

12/16/2013

The Centers for Medicare and Medicaid Studies is seeking proposals on how it should penalize insurers who violate the agency’s claim-reporting requirements, and payers are responding that the agency should not penalize insurers who are making a good-faith effort to send the agency their data. The Centers for Medicare and Medicaid Studies issued an advance […]

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MARC Coalition Applauds Senate Passage of the Strengthening Medicare and Repaying Taxpayers (SMART) Act

12/21/2012

WASHINGTON, Dec. 21, 2012 — The Medicare Advocacy Recovery Coalition (MARC) today applauded the United States Senate for passage of The Strengthening Medicare and Repaying Taxpayers (SMART) Act – H.R. 1063, now renumbered as H.R. 1845. Senators Ron Wyden (D-Or) and Rob Portman (R-Oh) introduced the legislation in the fall of 2011, and have been […]

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MARC Coalition Applauds House Passage of the Strengthening Medicare and Repaying Taxpayers (SMART) Act – H.R. 1063

12/19/2012

WASHINGTON, Dec. 19, 2012 — The Medicare Advocacy Recovery Coalition (MARC) today applauded the U.S. House of Representatives for passage of The Strengthening Medicare and Repaying Taxpayers (SMART) Act – H.R. 1063. U.S. Representatives Dr. Tim Murphy (R-PA) and Ron Kind (D-WI) introduced the legislation in March 2011, and have been leading the bipartisan effort […]

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High Court Asked to Hear Medicare Secondary Payor Dispute

08/9/2012

Law360, New York (August 09, 2012, 1:53 PM ET) — A Medicare patient injured in an automobile accident urged the Supreme Court on Tuesday to determine whether Medicare can recover its entire payment when a beneficiary settles a tort or other claim for a reduced amount, claiming it could change how Medicare patients pursue personal […]

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Secondary Payer: Brief says Supreme Court Review Needed on Limits to Settlement Recovery Authority

08/7/2012

The federal government overstepped its Medicare Secondary Payer Act authority when it sought recovery of all of its costs of caring for a Medicare beneficiary from that beneficiary’s third-party settlement, the beneficiary argued in a brief filed with the U.S. Supreme Court Aug. 7 (Hadden v. United States, U.S., No. 11-1197, reply brief filed 8/7/12). […]

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