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MEDICARE PITFALLS

  1. Relying on a  zero conditional payment letter from CMS when the beneficiary is actually enrolled in a Medicare Advantage Plan.
  2. Not utilizing the final conditional payment process to obtain a final conditional payment number before settlement.
  3. Failing to discuss the potential impact of the settlement on futures with the injured party.
  4. Failing to be aligned with defense on basic data points to be reported to Medicare under Section 111 reporting.
  5. Missing out on a waiver or compromise (refund!) post-final demand.

 

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