Cattie & Gonzalez, PLLC

Have you attended one of our Webinars yet? A couple weeks ago we held another one about the Demise of Chevron Deference and the effects on MSP Compliance. That Webinar is now available on our Youtube Channel to watch! https://lnkd.in/e-8h7Vv4 #SCOTUS #ChevronDeference #MSP

New NGHP Civil Money Penalties Webpage Now Available CMS published regulations regarding Civil Money Penalties (CMPs) on October 11, 2023. The regulations have been incorporated into 42 CFR Part 402 and 45 CFR Part 102. These regulations are applicable as of October 11, 2024, and will be enforced as of October 11, 2025. CMPs will only be issued by CMS on a prospective basis, and there will be no instances of retroactive enforcement related to noncompliant reporting. For the purposes of compliance with mandatory insurer reporting obligations, a “record” is defined as any individual occurrence of a Total Payment Obligation to Claimant (TPOC) or Ongoing Responsibility for Medicals (ORM) for a Medicare beneficiary that must be submitted via the Section 111 reporting process. If a particular case has both an ORM and a TPOC component, it will constitute two records. Records are required to be submitted in a timely manner. An RRE is considered to be in compliance with the timeliness requirement if a record is reported within 1 year (365 days) of the latter of either the Settlement Date reported in “Field 80” or the Funding Delayed Beyond TPOC Date reported in “Field 82” AND the MSP Effective Date and ORM are selected as “Y”. The date the 365-day “compliance clock” begins to run is October 11, 2024. Every reportable MSP occurrence that occurs on or after October 11, 2024, is eligible for review of compliance. Compliance with reporting obligations is defined by the rule as the successful submission and acceptance of the report of NGHP coverage, acceptance of ORM, or TPOC.  Beginning January 2026, and continuing on a quarterly basis, CMS will randomly select 250 MSP records to audit for Section 111 reporting compliance. This sample of 250 will be selected across the entire universe of accepted new Section 111 records received during the specific review period, as well as records Medicare received from non-Section 111 sources such as providers or beneficiaries. As required by law, the $250, $500, and $1,000 daily CMP amounts will be adjusted annually to account for inflation; upon publication of the adjustment notice in the Federal Register, an Alert will be posted on the What’s New page notifying RREs of the adjusted CMP amounts. The 2024 inflation-adjusted rates are $357, $714, and $1,428, respectively. All of this information and new updates on civil money penalties are now available at https://lnkd.in/epf8widy. As a national law firm solely focused on MSP legal and compliance issues, Cattie & Gonzalez, PLLC is available to provide Mandatory Insurer Reporting advice, counsel, audits, legal opinions, and representation, including issues and concerns pertaining to Civil Money Penalties. To connect with us, please visit us at www.cattielaw.com, reach out at info@cattielaw.com, or speak with us at 844.546.3500.

Our firm is growing and we could use more talented people! We are currently hiring for 6 open spots: Associate Attorney (Practice Area: Medicaid) Associate Attorney (Practice Area: Private/ERISA Liens) Associate Attorney (Practice Area: Medicare Secondary Payer "MSP") Lien Resolution Analyst Lien Resolution Specialist Client Intake Coordinator To view the full job listings, visit our careers page! https://lnkd.in/dTbpJBpz #Hiring #NewJob #Jobs

We have clients come to us weekly about Workers Comp claims that for one reason or another have been prevented from being resolved due to an arbitrary policy within the Federal Government. We pride ourselves at knowing how to navigate the road of client advocacy simply because we built that road, one argument at a time. #WorkersComp #MSA #Medicare

Grateful for all of the folks who joined us today for our Cattie & Gonzalez, PLLC Quarterly Medicare Secondary Payer Compliance Webinar. Great discussion by ⚖️John V. Cattie, Jr., Rafael Gonzalez, Esq., and James M (Jim) Anderson on the demise of Chevron deference after the SCOTUS decision on Loper and its possible effect on mandatory reporting, conditional payments, and set aside allocations. Appreciate all of the attendees who stayed after the presentation, shared their questions, comments, concerns, and engaged in a thoughtful analysis of the missing legal components of WCMSA issues, the next chapter of MSP compliance. Already looking forward to our next quarterly webinar! #cattiegonzalezpllc #ahigherstandardinmspcompliance #lawyersprovidingmsplegaladvice #lawyersofferingmsplegalsolutions

TODAY IS THE DAY! Are you attending our Webinar? It's not too late to register before 3pm EST! OUR WEBINAR IS TOMORROW! Don't forget to register! Tuesday September 17th, 3pm EST, ⚖️John V. Cattie, Jr., Rafael Gonzalez, Esq., and James M (Jim) Anderson will address the intersection of administrative law post-Loper and Medicare compliance for reporting, reimbursement, and MSAs. Make sure you have a valid Zoom account attached to the email you register with. Register Here: https://lnkd.in/etXY4Pwi #Medicare #Reporting #Reimbursement

Join ⚖️John V. Cattie, Jr., Rafael Gonzalez, Esq., and James M (Jim) Anderson of Cattie & Gonzalez, PLLC this afternoon at 12 PM PST/3 PM EST for expected challenges and changes to CMS policies on mandatory reporting, conditional payments, and set asides now that Loper Bright has overruled Chevron. To register to attend our webinar, THE DEMISE OF CHEVRON DEFERENCE & THE EFFECT ON MEDICARE SECONDARY PAYER COMPLIANCE, please go to https://lnkd.in/ePqsnV4k #cattiegonzalezpllc #ahigherstandardinmspcompliance #lawyersprovidingmsplegaladvice #lawyersofferingmsplegalsolutions

OUR WEBINAR IS TOMORROW! Don't forget to register! Tuesday September 17th, 3pm EST, ⚖️John V. Cattie, Jr., Rafael Gonzalez, Esq., and James M (Jim) Anderson will address the intersection of administrative law post-Loper and Medicare compliance for reporting, reimbursement, and MSAs. Make sure you have a valid Zoom account attached to the email you register with. Register Here: https://lnkd.in/etXY4Pwi #SCOTUS #Medicare #MSA

We've added more open positions on our careers page! Check them out and send in those resumes! #NewJobs #Hiring #OpenPositions https://lnkd.in/dTbpJBpz

Did you hear? We are presenting the next installment of our webinar series: The Demise of Chevron Deference & the Effect on Medicare Compliance! Tuesday September 17th, 3pm EST, ⚖️John V. Cattie, Jr., Rafael Gonzalez, Esq., and James M (Jim) Anderson will address the intersection of administrative law post-Loper and Medicare compliance for reporting, reimbursement, and MSAs. Visit the registration link here: https://lnkd.in/etXY4Pwi #Medicare #Chevron #Webinar