The Medicare Secondary Payer Statute does not preempt a state law requiring a workers’ compensation claimant to obtain preauthorization before incurring certain medical expenses, the 5th U.S. Circuit Court of Appeals has ruled in affirming judgment.
WASHINGTON – A proposed rule to drastically increase whistleblower rewards paid for information leading to successful Medicare fraud actions to as high as nearly $10 million was proposed by the Department of Health and Human Services this week.
A private Medicare Advantage Organization plan could not sue a plan participant’s survivors for reimbursement out of the proceeds of an automobile insurance policy, the 9th U.S. Circuit Court of Appeals has ruled in affirming judgment.
A criminal defendant could not introduce results from a functional magnetic resonance imaging (fMRI) lie detection test to prove the veracity of his denials of wrongdoing, the 6th Circuit has ruled.
WASHINGTON – The nation’s largest trial attorney group is urging federal regulators to hold off on a proposed rule that would require Medicare recipients who receive verdict awards or cash settlements to keep track of future medical care costs related to the accident, set them aside and pay those bills out of the settlement money.
A personal injury plaintiff’s damages should not have been reduced by the amount of her Medicare payments or Medicare-negotiated discounts, the Minnesota Court of Appeals has ruled in affirming judgment.
Attorneys engaged in settling personal injury suits say the process for squaring away Medicare’s secondary payer rights is still a mess, and some suspect that new required reporting, from which Medicare collects data on personal injury settlements, is only making it worse.
A married couple’s purchase of an annuity for the husband did not necessarily render the wife ineligible for Medicaid, the 10th Circuit has ruled in reversing judgment.
Proposed rules on how future medical bills in personal injury settlements should be handled to protect the interests of Medicare have been released by the Centers for Medicare and Medicaid Services.
A wife in a divorce was entitled to a percentage of the husband’s workers’ compensation settlement that was placed in a Medicare set-aside account, the Illinois Appellate Court has ruled in affirming a $12,250 award.