Mark Popolizio

Mark Popolizio

Mark Popolizio is the Vice President of MSP Compliance and Policy for ISO Claims Partners. Mark’s area of specialty is Medicare secondary payer compliance. He authors regular articles and provides educational presentations across the country on MSP issues. Mark's e-mail address is mpopolizio@iso.com.


    Posts by Mark Popolizio

    Breaking: CMS Recovery Practice Ruled Improper under the MSP

    In an important new case—CIGA v. Burwell, 2017 WL 58821 (C.D. California, January 5, 2017)—the court ruled that the CMS practice of seeking full reimbursement of a medical provider’s single charge—even where some unsegregated portion of that charge relates to services not covered by a workers compensation plan—was improper under the Medicare Secondary Payer Statute […]

    CMS Releases Updated Reporting and Recovery Thresholds with News on TPOCs

    Section111TPOC

    The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability (including self-insurance), workers compensation, and no-fault settlements, judgments, awards, or other payments (settlements). CMS’s December 12, 2016, alert, Change in Reporting Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, […]

    CMS to Hold Town Hall Call on November 17

    Mark Popolizio

    The Centers for Medicare and Medicaid Services (CMS) will conduct a Town Hall Teleconference November 17, 2016 (1:00 p.m. – 2:30 p.m. EST) to address numerous liability insurance (including self-insurance), workers compensation, and no-fault claims issues.  Click here to view CMS’s full notice and call-in instructions. CMS noted that it expects to discuss: Ongoing Responsibility […]

    Medicare Advantage Plans Allowed to Sue No-Fault Carriers for Private Cause of Action

    Mark Popolizio

    New Ruling Likely to Lead to More MAP Lien Claims against PIP Insurers Following on the heels of its recent Humana v. Western Heritage decision, the United States 11th Circuit Court of Appeals1 has just released another important Medicare Advantage ruling in MSP Recovery, LLC v. Allstate Insurance Company, 2016 WL 4525222 (11th Cir., August […]

    New Front in Medicare Advantage Battle: Law Firm Targeted

    Mark Popolizio

    We continue to watch closely the expansion of Medicare Secondary Payer (MSP) recovery concepts to cases involving Medicare Advantage Plans (MAPs). Now, an important new MAP decision has been reached. In Humana v. Paris Blank LLP, 2016 WL 2745297 (E.D. Va., May 10, 2016), the United States District Court for the Eastern District of Virginia […]

    Will CMS Expand MSA Reviews to Liability Cases and Other Claims?

    Mark Popolizio

    On June 9, the Centers for Medicare and Medicaid Services (CMS) announced that it is considering expanding its voluntary Medicare Set-Aside (MSA) review process to include liability insurance (including self-insurance) and no-fault insurance claims. While CMS didn’t provide details, it plans to work closely with stakeholders to determine “how best to implement this potential expansion.” […]