An Example of How a Jury is used to Protect Medicare’s Interest

Alexander v. Laborde,et. al., Court of Appeal of Louisiana, Third Circuit. (2012) Many times we are asked about protecting Medicare’s interest in a trial setting.  The defendant is usually concerned about exposure after being required to pay over a lump sum to the...

Manual ORM Termination – It can save expense dollars when utilized

Katie A. Fox, MSCC – October 21, 2011 The much awaited Version 3.2 of the User Guide was released on August, 17, 2011. The User Guide outlines several changes, but hidden in section 11.8 is a process to manually terminate the ORM status between Section 111 claim...

When to Use a Liability Medicare Set-aside Arrangement (LMSA)

  The Centers for Medicare & Medicaid Services (CMS) has put the insurance industry on high alert. Threat of penalties for failure to report liability claims involving a Medicare beneficiary has raised concerns over properly meeting obligations owed...