Subscribe Feed (RSS)New Threshold and Process set by Medicare for Recovery in Liability Cases
February 6th, 2012 by Tammy Riddle | No Comments | Filed in Employment Law, Personal Injury Law, UncategorizedThe Medicare Secondary Payer Statute requires that no payments for treatment or services for a beneficiary be made by Medicare when payment has been made, or can reasonably be expected to be made under a workmen’s compensation law or plan of the United States or a State or under an automobile or liability insurance policy or plan (including a self-insured plan) or under no fault insurance.
Notwithstanding the terms of the secondary payer statute, Medicare may make conditional payments, which payments must be reimbursed to Medicare if it is demonstrated that such primary plan has or had a responsibility to make payment with respect to such item or service. (more…)
Tags: fixed percentage option, medicare, medicare secondary payer statute, msprc
