Medicare Compliance Archives - Page 3 of 5

Navigating the Maze: Understanding Medicare Compliance in Personal Injury Settlements

July 16, 2024

Representing Medicare-eligible clients in personal injury cases introduces a layer of complexity since it requires compliance with the Medicare Secondary Payer Act (MSP). As trial lawyers, your duty extends beyond securing settlements; you must ensure clients are safeguarded against the potential pitfalls of non-compliance with MSP regulations. Before touching on compliance, it is first important to understand Medicare’s various components and their implications for the injured.

CMS’ Data Driven Approach to MSP Compliance

May 2, 2024

Injured parties should be advised about the potential impact of the MSP Act on their post-settlement injury-related care and files properly documented.

Understanding Medicare Advantage Plans: A Comprehensive Overview

June 9, 2023

Medicare Advantage plans have emerged as a popular option for individuals seeking healthcare coverage beyond what traditional Medicare offers.

Would Better Billing by Providers Result in Fewer MSP Recovery Claims Cases?

April 20, 2023

MSP Recovery Claims, Series LLC, and MSPA Claims 1, LLC have filed several cases on behalf of Medicare Advantage Organizations (MAOs).

Take Stock of Your Firm’s MSP Compliance Protocol Before it is Too Late

March 1, 2023

If you’re looking to establish your firm’s MSP compliance protocol, reach out to Synergy’s team of MSP compliance experts for help.

Synergy’s Workers’ Compensation Medicare Secondary Payer Advice

February 13, 2023

An attorney representing an injured worker may scan the defense’s Medicare Set-Aside and assume the future medical issues have been addressed.

How Does Medicare Decide Which Payments Are Conditional?

February 8, 2023

Settlements involving Medicare beneficiaries require additional scrutiny to ensure compliance with the MSP Act.

11th Circuit Brings Clarity to the Statute of Limitations for Medicare Advantage Plans

November 14, 2022

The 11th Circuit Court of Appeals has attempted to bring some clarity to the statute of limitations in a recent case.

Withdrawal of Long-Awaited Proposed MSP Rules for Liability Cases

October 18, 2022

October 18, 2022 By: Rasa Fumagalli, JD, MSCC, CMSP-F Medicare has struggled over the years to provide rules clarifying existing Medicare Secondary Payer (MSP) compliance obligations when it comes to post-settlement injury-related care that is released in a liability settlement. Their first attempt at proposed rulemaking took place in 2012 and resulted in the notice […]