On April 1, 2014, President Obama signed into law the Protecting Access to Medicare Act of 2014. This new law prevents a scheduled payment reduction for physicians and other practitioners who treat Medicare patients from taking effect on April 1, 2014.
Video from a seminar entitled Proving the Value of Present and Future Medical Bills under Howell, Corenbaum and Dodd v. Cruz and How to Establish “Negotiated Rate Differentials” in Medicare, Kaiser and other Lien Cases presented by the Association of Defense Counsel of Northern California and Nevada.
Change in Reporting Threshold for Certain Liability Settlements, Judgments Awards, or Other Payments
As required by section 202 of the Strengthening Medicare and Repaying Tax Payers Act of 2012 (SMART Act), the Centers for Medicare & Medicaid Services (CMS) has reviewed the costs related to collecting data and determining the amount of Medicare’s recovery claim and has calculated a revised single threshold for physical trauma-based liability insurance settlements. (Note: This threshold does not apply to settlements for alleged ingestion, implantation or exposure cases.)
ALERT! We have recently experienced an increase in errors by COBC and/or MSPRC in processing information and conditional payment summaries related to liability claims and lawsuits. Each entity blames the other for these mistakes. Examples of errors include, but are not limited, to the following: COBC opening a file under the wrong name and/or Medicare …
New Case Holds Medicare Part C & D Plans Have Right to Private Cause of Action Under MSP ear Friends and Colleagues: A significant new case from the Third District, In Re Avandia Marketing, etc., (Humana and other similarly situated plans) (Lexis 13230) has confirmed something we have seen coming given several recent CMS memos: …
The Medicare Secondary Payer Recovery Portal is expected to go live in June of 2012.
As I reported last Thursday, I received information from MSPRC on May 12, 2011 that the agency had placed an immediate moratorium on processing of Final Demands for Reimbursement and the new document entitled “Conditional Payment Demands”, both of which purport to require beneficiaries to reimburse Medicare for conditional payments attributed to a liability event …
