Rule would boost Medicare whistleblower bounty to $10M 
Published: April 25, 2013
Tags: Department of Health and Human Services, Medicare, whistleblower
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.
Medicare plan can’t seek reimbursement from participant’s survivors
Published: April 24, 2013
Tags: automobile accident, automobile insurance, Medicare, reimbursement
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.
Defendant can’t introduce fMRI lie detection results
Published: September 14, 2012
Tags: Daubert, fMRI, fraud, functional magnetic resonance imaging, Medicaid, Medicare
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.
AAJ urges halt on secondary-payer regulation
Published: August 17, 2012
Tags: CMS, federal regulations, Medicare, Medicare Secondary Payer statute
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.
Medicare benefits don’t reduce plaintiff’s damages
Published: August 14, 2012
Tags: collateral source rule, Medicare
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.
Medicare’s secondary payer process remains messy
By:
Sylvia Hsieh
Published: August 9, 2012
Tags: Centers for Medicare and Medicaid Services, CMS, Medicare, Medicare Secondary Payer Act
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.
Wife may be eligible for Medicaid despite annuity
Published: July 12, 2012
Tags: annuity, estate planning, Medicaid, Medicaid planning, Medicare, Medicare Catastrophic Coverage Act
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.
Medicare proposes personal injury settlement rules
By:
Sylvia Hsieh
Published: July 11, 2012
Tags: Centers for Medicare and Medicaid Services, CMS, Medicare, Medicare Secondary Payer Act
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.
Medicare set-aside account divisible in divorce
Published: March 16, 2012
Tags: divorce, Medicare, workers' compensation
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.
CMS issues new Medicare reimbursement guidance
Published: December 30, 2011
Tags: Centers for Medicare and Medicaid Services, Medicare, Medicare Secondary Payer Act
New guidance released by the Centers for Medicare and Medicaid Services is expected to streamline Medicare reimbursement for injured plaintiffs.
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