Category Archives: LMSA

CMS Updates MSP Compliance for Liability Claims

03 Oct 2011 Jeff Signor No Comments

Blog, LMSA, Medicare Secondary Payer News, Medicare Set Aside

This memo is consistent with our article about the LMSA and confirms the roadmap we have in place for our clients. We are now working on a form letter to put before the treating doctor to execute. If this letter cannot be secured, we recommend following our roadmap to make certain Medicare’s interests are properly protected. Cooperation of the plaintiff and his/her representative will be key. However, the memo should improve cooperation in this regard.
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Blog, LMSA, Medicare Set Aside

  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 Medicare.  One particular question has raised  great controversy – Does a settlement, judgment, award, or other payment to a Medicare beneficiary need …
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When to Use a Liability Medicare Set-Aside (LMSA)

30 May 2011 Roy Franco No Comments

Blog, LMSA, Medicare Set Aside

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 Medicare. One particular question has raised great controversy – Does a settlement, judgment, award, or other payment to a Medicare beneficiary need to …
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Blog, LMSA, Medicare Set Aside

Claimant became a Medicare beneficiary as a result of injuries she sustained in an accident. Her attorney contacted Medicare to determine the amount of the conditional payment, but found nothing was owed. Concerned that Medicare may make payments in the future that are related to the incident in question, the attorney made sure to create a system to prevent this …
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Blog, LMSA, Medicare Set Aside

It was bound to happen.  When legal responsibility exists to comply with a law, but no policy or procedure is in effect as to how, parties to a liability case will fashion their own solution.  That’s exactly what took place in Big R Towing, Inc. v. David Wayne Benoit, et al,  2011 U.S. Dist. LEXIS 1392 where the court was …
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