by Tim Gaughan | Jul 10, 2023 | Action Reports, MAC News
Unanimous Decision Clarifies Knowledge Requirement for Liability Under False Claims Act Key Takeaway: In False Claims Act cases, the belief of the defendant determines “knowledge,” not an “objectively reasonable interpretation.” On June 1, 2023, the United States...
by Tim Gaughan | Jul 10, 2023 | Action Reports, MAC News
Biden Administration Announces New Actions to Provide Debt Relief and Support for Student Loan Borrowers, Alternate Path to Student Loan Relief Through Different Statutory Authority On June 30, 2023, the U.S. Supreme Court struck down the Biden Administration’s...
by Tim Gaughan | Jun 28, 2023 | MAC Matters, MAC News
MAC Members Can Access a List of Frequently Used Codes and Their Updated Fees on the MAC Website The new Blue Cross Blue Shield fee schedule, effective Saturday, July 1, 2023, is now available. This new fee schedule applies to services provided to Traditional and...
by Tim Gaughan | Jun 28, 2023 | MAC Matters, MAC News
In mid-April, Blue Cross Blue Shield of Michigan (BCBSM) announced that they will move their electronic data interchange services, known as EDI, to Availity®, effective August 2023. Prior to this transition, the MAC Insurance Relations team recommends researching and...
by Tim Gaughan | Jun 2, 2023 | Action Reports, MAC News
Published Opinion Holds That Appeals to DIFS Prior to Filing a Lawsuit is Wholly Discretionary “Because the plain language of the operative statutes and regulations permit an administrative appeal rather than require it, [plaintiff] was not required to appeal the...
by Tim Gaughan | May 9, 2023 | Action Reports, MAC News
Process Designed to Be Quicker, More Effective, and Transparent By: Stephanie Davidson, MAC Insurance Relations Manager In April 2022, legislation promising prior authorization (PA) reform was signed into law by Governor Whitmer. The goal of the new law (Public Act 60...
