20 Helpful Tips Every Plaintiff Attorney Should Know About the Medicare Secondary Payer Act and Medicare Set Asides
B. Josh Pettingill, MBA, MS, MSCC
1. Addressing Medicare’s past interests (resolving conditional payments) is an issue for everyone involved in the lawsuit/settlement process. Don’t forget to get the final demand letter from MSPRC before you disperse funds to your …
Benoit v. Neustrom: A Landmark Decision for Reduction of Liability Medicare Set Asides
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
On April 17, 2013, the United States District Court for the Western District of Louisiana rendered an unprecedented decision. In a case where a limited recovery was achieved due to complicated liability …
CMS HQ Issues 1st Memo Regarding Liability Medicare Set Asides
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
Many have been asking for formal guidance regarding Medicare set asides in liability settlements. It seemed as though that was never going to happen. That came to an end in May of …
CMS Issues Important Memo Regarding Liability Medicare Set Aside
In the first memo coming from CMS HQ regarding Liability Medicare Set Asides, Charlotte Benson, Acting Director Financial Services Group for CMS, gives us an exception to the need to create a set aside. According to the memo, a liability …
Liability Medicare Set Asides: Region 6 Memo Provides a Little Clarity
By Jason D. Lazarus, J.D., LL.M., MSCC
Synergy has gotten inquiries regarding a memo issued in May of this year by Sally Stalcup, the MSP Regional Coordinator for CMS (Region 6 – Dallas RO). The memo addresses Medicare set-asides in …
What to Look For When Hiring a Medicare Compliance (MSA) Vendor
By B. Joshua Pettingill & Jason D. Lazarus
The hiring of a Medicare Set Aside (“MSA”) allocation vendor is an important decision when settling a worker’s compensation or liability matter. The future medical costs included in the allocation report can …
Medicare Set Asides – How Are They Administered?
By Jason D. Lazarus, J.D., LL.M., MSCC, CSSC
When a case is settled for a Medicare beneficiary, be it workers’ compensation or liability, a Medicare Set Aside (“MSA”) may be implemented. Once the decision is made to utilize an MSA, …
A Primer on Medicare Set-Asides
By: Jason D. Lazarus & Rasa Fumagalli
It is important to start from the beginning when addressing the Medicare Secondary Payer Act (“MSP”) and Medicare Set Aside issues that may impact attorneys as well as injury victim clients. Some lawyers …
