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American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues

Event | 03.22.06 - 03.24.06, 12:00 AM UTC - 12:00 AM UTC

For the most comprehensive program available on legal issues related to reimbursement, attend AHLA's Institute on Medicare and Medicaid Payment Issues. The program will include sessions on more than 50 topics and, as in the past, CMS officials will participate in sessions. They will host open door forums on hospital and physician issues to answer your questions, and participate in many of the breakout sessions. Professor Ted Marmor, who wrote The Politics of Medicare will give the keynote address. Breakout sessions will include primers on fraud and abuse, Medicaid, Medicare Parts A-D, and coding, advanced issues in Stark and physician reimbursement, DGME and IME, DSH adjustments, litigation updates, NPI, legal ethics on provider contracts, recovery audit contractors, ICD-10, PRRB issues, Medicare claims appeals process, and many, many more.

Ken Bruntel will be speaking as part of a panel entitled "Prescription Dollars: Part D Payments and Payment Adjustments"; Margit Nahra will be speaking on Medicare Part C as part of a panel entitled "Fundamentals of Medicare Parts A-D" and Bob Roth will be part of a discussion entitled, “Repayments and Disclosures: Whether, Which, When, How and How Much” during this two-day event.

Insights

Event | 02.20.25

Has the Buss Stopped? Recoupment Today

Has the Buss Stopped? Recoupment Today: In 1997, the California Supreme Court decided Buss v. Superior Court. In Buss, the court concluded that a liability insurer that defended a mixed action could seek reimbursement from the insured for the defense costs associated with the claims that were not even potentially covered. Since then, numerous courts have held that insurers are entitled to recoup their defense costs associated with uncovered claims or causes of action. On the other hand, a significant number of courts have rejected insurers’ right to recoupment, at least in the absence of a policy provision granting the insurer that right. Some commentators have even suggested that the current judicial trend might be away from permitting insurers to recoup their defense costs. Is that correct? Has the Buss stopped? This panel of coverage experts will analyze insurers’ claimed right to recoupment today, and offer their perspectives on what the law on recoupment should perhaps be and might be in the future.

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