News

Medicare Gets Aggressive in Drive to Recoup Medical Costs

01/17/2010

The U.S. government’s first-of-its-kind lawsuit against all parties that settled a pollution liability case signals Medicare’s aggressive push to make sure it does not pay medical expenses when others are to be the primary sources of payment, observers say.  The suit filed Dec. 1, 2009, cites Medicare Secondary Payer provisions in federal law that allow […]

Read Article

Secondary Payer Law Creates Challenges

12/14/2009

Failure to comply with the Medicare, Medicaid and SCHIP Extension Act of 2007 and the Medicare Secondary Payer Act could be costly for all parties involved in litigation or claims filed by Medicare beneficiaries, says Iman Soliman, an attorney with law firm Bowman and Brooke L.L.P. in Phoenix. Those potentially affected should see the Centers […]

Read Article

Deadline Looms for Firms to Register Claims Data

12/7/2009

Insurers and self-insured employers face a Dec. 31 deadline to register with a federal agency, but numerous questions remain about what workers compensation and liability claims data must be fed into the Medicare system, several experts say. Insurers and self-insured employers identified as responsible reporting entities must register with the U.S. Centers for Medicare & […]

Read Article

Some Comp Cost Increases Blamed on Medicare Rules

11/30/2009

Inflated rulings on how much employers must set aside to ensure Medicare does not pay for workers compensation medical claims are resulting in needless cost increases, risk managers and claims experts contend. Claim settlement delays and government practices for evaluating workers comp claims requiring a Medicare set-aside are boosting costs for those claims by as […]

Read Article

Municipalities and Medicare

10/15/2009

Is a municipality immune from conditional payment liability under the Medicare Secondary Payer Act, 42 U.S.C. §1395y(b)(8)? No. This answer may surprise claims managers for public entities, but the law provides no protection whatsoever for municipalities. Not even federal government agencies are exempt. The rationale is simple: Medicare needs to be made whole. Social Security and […]

Read Article

Navigating Medicare Secondary Payer Compliance

10/28/2008

The Medicare Secondary Payer Act has been in place for more than two decades. During that time, much has been written regarding the requirements to comply with Medicare. Third-party administrators and self-insureds are particularly vulnerable to changes in Medicare regulations—most recently, and in particular, the State Children Health Insurance Program Extension Act. This article traces […]

Read Article

Share Your Story

If you are a Medicare beneficiary and any of these issues occurred with your Medicare claim, please tell us your story.  Your personal experience will help MARC advocate for positive change and seek much needed MSP reform on Capitol Hill. We will not use your identifying information without your consent.