Kate Riordan

2/18/2025 - 5 min read

Effective AI Governance for Insurance Claims Solutions

Learn how insurers can responsibly use AI for claims processes, mitigating risks and ensuring compliance.

12/22/2022 - 14 min read

Is the other “M” on your radar? 5 things to know about Medicaid and how we can help!

It is no secret that Medicare secondary payer compliance issues often dominate the claims landscape and discussion.

12/9/2022 - 17 min read

The PAID Act one year after implementation – How is it going? What are we seeing?

On 12/11/21, the (PAID Act) went live following a year-long implementation roll-out by the Centers for Medicare and Medicaid Services (CMS).

6/24/2022 - 15 min read

The RAMP Act is introduced in Congress – proposed bill aims to repeal Medicare’s private cause of action (“double damages”) statute

6/10/2022 - 25 min read

The United States Supreme Court rules that Medicaid may seek recovery from settlement payments representing future medical care

The Court rejected the plaintiff’s argument that Medicaid’s recovery was limited to only that portion of the settlement representing past medical care.

6/25/2021 - 10 min read

CMS discusses PAID Act implementation plans and timelines on webinar

On June 23rd, CMS held a webinar to discuss its plans to implement the PAID Act for non-group health plan (NGHP) responsible reporting entities (RREs).

4/14/2021 - 10 min read

CMS’s Section 111 penalty proposals – current status and FAQs

There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.

3/12/2021 - 4 min read

The COMP Act is reintroduced in the U.S. Senate

On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into the United States Senate.

12/14/2020 - 14 min read

The PAID Act is now law

It requires CMS to expand its Section 111 Query Process to identify whether a claimant is currently entitled to.

12/9/2020 - 5 min read

PAID Act passes House, moves to the Senate

The House of Representatives passed the PAID Act as a stand-alone bill and as part of the BENES Act of 2019. Both bills now move to the Senate for further consideration.

8/20/2020 - 8 min read

What’s up in D.C.? Medicare Secondary Payer reform efforts – status update

With the current Congressional session ending on 1/3/21, attention is on two pending Medicare Secondary Payer reform efforts: The PAID Act & the COMP Act.

Campaign Creators Pypeceajezy Unsplash 3

8/14/2020 - 3 min read

CMS holds Section 111 NGHP update webinar

On 8/13, CMS held a webinar on Section 111 non-group health plan reporting. The webinar covered NGHP Section 111 reporting best practices and MSPRP enhancements.

7/2/2020 - 21 min read

Eleventh Circuit rules that Florida Medicaid may seek recovery of its past payments from those portions of the settlement agreement representing past and future medical care

In a new Florida Medicaid decision, the U.S. Circuit Court of Appeals for the Eleventh Circuit, in Gallardo v. Dudek, 2020 ruled Florida Medicaid may seek recovery of payments made for a beneficiary’s treatment from the amounts of a settlement agreement representing both past and future medical care.

5/1/2020 - 19 min read

Court finds state of Rhode Island compliant with Section 111 despite its inability to obtain social security information to determine Medicare status and enforces settlement

The U.S. District Court in Ruiz v. Rhode Island was called upon to address whether a personal injury settlement should be enforced even though the defendant was unable to obtain the plaintiff’s social security number, or the last five digits of his SSN, to determine his Medicare status through CMS’s Section 111 Query Process.

4/21/2020 - 8 min read

CMS’s Section 111 civil money penalties comment period closes

With the comment period closed, the focus now turns to when CMS will issue its Final Rule, which will comprise of the agency’s official CMP regulations.

Kate Riordan, J.D.

Effective AI Governance for Insurance Claims Solutions

Is the other “M” on your radar? 5 things to know about Medicaid and how we can help!

The PAID Act one year after implementation – How is it going? What are we seeing?

The RAMP Act is introduced in Congress – proposed bill aims to repeal Medicare’s private cause of action (“double damages”) statute

The United States Supreme Court rules that Medicaid may seek recovery from settlement payments representing future medical care

CMS discusses PAID Act implementation plans and timelines on webinar

CMS’s Section 111 penalty proposals – current status and FAQs

The COMP Act is reintroduced in the U.S. Senate

The PAID Act is now law

PAID Act passes House, moves to the Senate

What’s up in D.C.? Medicare Secondary Payer reform efforts – status update

CMS holds Section 111 NGHP update webinar

Eleventh Circuit rules that Florida Medicaid may seek recovery of its past payments from those portions of the settlement agreement representing past and future medical care

Court finds state of Rhode Island compliant with Section 111 despite its inability to obtain social security information to determine Medicare status and enforces settlement

CMS’s Section 111 civil money penalties comment period closes