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CAP's Case of the Month: How Questioning a Patient's Service Dog Led to a Lawsuit

What happens when a healthcare facility questions whether a service dog is truly a service animal? This Case of the Month shows why the answer is not as simple as it seems and provides guidance about what physician practices can, and cannot, do when a patient arrives with a service dog.


In the 2019 case of C.L. v. Del Amo Hospital, Inc., the court addressed whether a hospital’s refusal to accommodate a patient’s self-described service animal violated the ADA. The patient, C.L., who suffered from severe childhood trauma, major depression, and anxiety, relied on her service dog to wake her from nightmares, alert her to people approaching, and “ground” her. Despite being unable to afford a professionally trained service dog, she purchased a dog and trained it to assist with her specific needs.

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Interested in reading more case studies? Request your free copy of From Exam Room to Courtroom,…


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Noridian Quarterly Provider Updates

Noridian has released its latest quarterly provider update, highlighting several important Medicare billing, compliance, and educational resources for physician practices. We’ve summarized the most relevant updates below. The complete Noridian newsletter is available at the bottom of this page.


Key Updates


Medicare Secondary Payer (MSP) Form Now Available in the Noridian Medicare Portal


As of June 19, 2026, providers can now submit the Part B Medicare Secondary Payer (MSP) Correspondence Formdirectly through the Noridian Medicare Portal (NMP) instead of mailing it. Supporting documentation can also be uploaded electronically, streamlining requests related to previously processed claims.

This submission option is intended for requests involving:

  • Claims unrelated to No-Fault, Workers’ Compensation, Liability, or Medicare Set-Aside cases


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Noridian Quarterly Provider Updates

Noridian has released its latest quarterly provider update, highlighting several important Medicare billing, compliance, and educational resources for physician practices. We’ve summarized the most relevant updates below. The complete Noridian newsletter is available at the bottom of this page.


Key Updates


Medicare Secondary Payer (MSP) Form Now Available in the Noridian Medicare Portal


As of June 19, 2026, providers can now submit the Part B Medicare Secondary Payer (MSP) Correspondence Formdirectly through the Noridian Medicare Portal (NMP) instead of mailing it. Supporting documentation can also be uploaded electronically, streamlining requests related to previously processed claims.

This submission option is intended for requests involving:

  • Claims unrelated to No-Fault, Workers’ Compensation, Liability, or Medicare Set-Aside cases


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Free Webinar: Recruiting and Managing High-Performing Medical Office Staff

Get practical guidance on building and maintaining a high-performing medical office team during CAP’s free webinar. The leading employment law attorneys from WorkWise Law, PC will discuss how today's medical practices can address unprecedented workforce challenges, including recruiting in a tight labor market, navigating evolving employment legal requirements, and managing the growing use of AI in hiring and workforce management.

 

Register Now

 

Recruiting and Managing High-Performing Medical Office Staff

Presented by WorkWise Law, PC


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Events

  • 10 Sep Thu | 'Tactical Responses to Payor Issues'

  • 18 Aug Tue | 'Using AI to Spot Trouble Before the Payor Does'

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