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"Set Aside Arrangement" in its Medicare Secondary Payer

Medicare set-asides in maritime personal injury and Jones Act claims

She routinely advises air carriers and insurers on their obligations under the mandatory Medicare reporting laws and the Medicare Secondary Payer Act.

A guide through the Medicare morass: Medicare fundamentals and best practices for liability insurers and their attorneys

The exhaustion of the administrative appeals involved Bradley 1) filing a request for redetermination from the Medicare Secondary Payer Recovery Contractor (MSPRC); 2) filing a request for reconsideration of MSPRC's unfavorable determination to MAXIMUS Federal Services; 3) filing an appeal of MAXIMUS's unfavorable reconsideration by requesting a hearing before an administrative law judge (ALJ) at the Office of Medicare Hearings and Appeals, Southern Field Office and participating in a hearing before the ALJ; and 4) appealing the unfavorable ALJ decision to the Medicare Appeals Council in Washington, D.C.

Caging the 800-pound Gorilla: Medicare's right of reimbursement after Bradley v. Sebelius

The Medicare Secondary Payer manual is contributing to the uncertainty about CMS's position.

Medicare and future medical expenses: does the "super lien" apply? It's common practice to accommodate Medicare liens in personal injury liability claims. But must litigants also protect Medicare from future medical expenses - i.e., those that might be incurred by the plaintiff after settlement or judgment? While the answer is far from clear, the author offers his opinions

Medicare Secondary Payer, Information for Employers is a booklet designed to provide information to organizations that sponsor or contribute to group health plans that cover people who may have Medicare, regarding when Medicare is secondary payer to the health plan.

Updated health insurance guides available from HCFA

The Medicare Secondary Payer (MSP) policy was designed to ensure that the Medicare and Medicaid programs do not pay for healthcare expenses for which another party is responsible.

MARC Applauds Bipartisan Bill to Improve Medicare Secondary Payer Policy

Consequently, insurance carriers now must alter the way claims are managed and settled because of two key components: Section 111 reporting and increased enforcement of Medicare's recovery rights trader the Medicare Secondary Payer statute, or MSP for short.

Required reading: Medicare is calling on insurers to enforce a stack of new regulations--or face fines

THE MEDICARE SECONDARY PAYER ACT (MSP) (1) requires that Medicare not pay for any health care item or service that has been paid or should be paid by a primary source.

Medicare set-asides and future damages considerations in civil liability matters, lessons learned through the workers' compensation set-aside process

(3) Part of this act, [section] 111, extends the government's ability to enforce the Medicare Secondary Payer Act.

Medicare myths: what every trial lawyer should know about the MSP & liability Medicare set asides

Using the Medicare Secondary Payer Act and the new SCHIP Extension Act passed in December of 2007, Medicare is bulling its way into workers' compensation and liability settlements.

Medicare, the bull in the settlement China shop: the Medicare Secondary Payer Act and the new SCHIP Extension Act of 2007 will have very different effects on workers' comp and liability cases

Medicare secondary payer

Medicare secondary payer