Welcome to the Fall 2018 edition of the Medicare Secondary Payer Compliance Corner.
Category: Blog
Question: How much does the Medicare Secondary Payer program really impact the Medicare program? Does it really make it more likely that Medicare will be around when I am old enough to qualify for this entitlement program?
Nyhan, Bambrick, Kinzie & Lory attended the annual NAMSAP (National Alliance of Medicare Set-Aside Professionals) Conference.
In response to the question whether the Medicare Secondary Payer statute preempted the state’s automobile no fault law, the State of Florida Third District Court of Appeal responded with an emphatic No!
The Medicare Secondary Payer Act provides that Medicare is a Secondary Payer when a primary payer has responsibility for payment.
You may have asked that question lately. In the management of workers’ compensation claims, Utilization Review (UR) provides a process whereby proposed treatment is assessed for medical necessity and reasonableness.
As we move further away from 9/11, it is apparent that the list of health conditions related to the toxic chemical exposures at the devastation sites is growing.
Lyrica has been the subject of recent discussions within the Medicare Set-Aside professional community.
I have a claimant who is currently 62 years and 1 month old. The total settlement is over $250,000. Does this meet the CMS review threshold? If not, are we “safe” by not submitting?
In yet another ruling concerning Medicare Advantage Organizations’ rights to pursue the private cause of action under the Medicare Secondary Payer Act, a U.S. District Court in Illinois held that assignee-organizations may pursue rights of recovery on behalf of assignor-MAOs with valid assignment agreements.