Medicare compliance must be built into firm operations, not handled at the end of a case. Learn how personal injury firms can create a repeatable Medicare compliance framework that protects clients and reduces liability.
Medicare compliance is a core obligation for personal injury firms. Learn the best practices that reduce risk, protect clients, and prevent post settlement exposure.
Learn how to navigate MSP futures compliance, protect clients’ access to care, and reduce legal risk by addressing MSAs, ICD codes, and Medicare reporting early.
Medicare compliance is a required part of personal injury settlements. Learn how the MSP affects conditional payments, future medicals, and what law firms must do to reduce risk.
There are some good reasons why many Medicare Set-Aside (MSA) arrangements today are funded with structured settlements.
The wait for proposed rulemaking related to Medicare Secondary Payer (MSP) compliance obligations regarding future medical services in liability settlements continues. Although the Department of Health and Human Services issued their initial notification of proposed rulemaking in the fall of 2018, the target date has been moved several times and is currently set for October of 2021. However, focusing solely on the notice of proposed rules will cause a practitioner to overlook the impact of important MSP compliance changes taking place with Section 111 Mandatory Insurer Reporting obligations on settlements.
September 9, 2021 Samantha Webster Structured settlements may be used to fund a Workers’ Compensation Medicare Set-Aside (WCMSA). Samantha Webster, Synergy’s Director of Case Management, addresses two common questions that come up about funding of a WCMSA with a structured settlement annuity. Question #1: “Are there different structured settlement options to fund a Medicare Set-Aside […]
Once you’ve already identified someone as a Medicare beneficiary (or someone with the reasonable expectation of becoming one within thirty months), the easiest way to make sure you’re compliant is to follow the acronym “CAD.”
Consider this scenario: you represent a current Medicare beneficiary in a third-party liability case. As part of the workup of the case, you determine the client will need future medical care related to the injuries suffered, and you settle the case. Since the client is a Medicare beneficiary, the defendant will report the settlement under the Mandatory Insurer Reporting law as it is greater than $750 in gross settlement proceeds.