Medicare Lien Surprise: Don’t Ever Rely on a Conditional Payment Letter
An intriguing case, Mayo v NYU Langone Med. Ctr., just came out of the Supreme Court of New York, reminding the trial bar that when resolving a conditional payment for a Medicare beneficiary only the “Final Demand” letter is final. …
Big Data and Medicare – Recipe for Disaster
B. Josh Pettingill, MBA, MS, MSCC
Introduction
A vital step to navigating the MSP statute is understanding the dynamics between the Section 111 Reporting Requirement and the potential interplay for a Liability Medicare Set Aside (LMSA). The MSP statute precludes …
Medicare Advantage Private Cause of Action is Now Sweeping the Country
Medicare Advantage Private Cause of Action is Now Sweeping the Country
Courts across the country continue to rule that Medicare Advantage Plans (MAP or MAO) are enforceable and shall be entitled to double damages if not repaid in third party …
