On June 18, 2018 the U.S. Department of Justice’s Attorney’s Office for the Eastern District of Pennsylvania announced a recently concluded settlement with a plaintiff firm involving the repayment of Medicare Conditional Payments. The government’s investigation arose under the Medicare Secondary Payer provisions of the…
If your client is Medicare eligible at the time of his or her settlement, there is a strong possibility they will need to establish a Medicare Set-Aside (MSA) account. As a result of the Medicare Secondary Payer Act, Medicare may deny injury-related benefits indefinitely if…
CMS continues to forge ahead with establishing formal guidelines for Liability Medicare Set Asides (LMSAs). Over the past several months, The Centers for Medicare and Medicaid Services (CMS) has met with key stakeholders from the insurance industry, the plaintiff’s bar and the Medicare set aside…
Administering a Medicare Set Aside When a case is settled for a Medicare beneficiary, be it workers’ compensation or liability, a Medicare Set Aside (MSA) may be implemented. Once the decision is made to utilize an MSA, the question becomes how will it be administered? …