Dr. Donald Berwick Appointed To Lead CMS

11 Jul 2010 Roy Franco No Comments

Blog, Medicare Secondary Payer News

On April 19, 2010 the Obama Administration announced the nomination of Dr. Donald Berwick to lead the Centers for Medicare & Medicaid Services (CMS). He was supposed to be confirmed by the U.S. Senate, but that will not happen during this Congressional Session. Using his recess appointment powers, President Obama appointed Dr. Donald Berwick to lead CMS on July 7, …
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Allocation, Blog, Medicare Conditional Payments

It was always assumed Medicare would abide by state rulings.   Consequently, my interest is always peaked when I hear CMS commentary on the topic.  For instance, at the Town Hall Conference Call for Mandatory Insurance Reporting on June 30, 2010 – the issue came up and what I took away from it was a CMS point of view that not …
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Blog, Medicare Conditional Payments, Reimbursements

Got Medicare?  If your Company/Insurance Carrier is ready to settle a case with a Medicare beneficiary is there an easy way to avoid Medicare Secondary Payer Liability?  The short answer is yes, but you will need the Medicare beneficiary to agree, and chances are they will not. The Trust Fund must be reimbursed after a settlement with a Medicare beneficiary. …
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Allocation, Blog, Medicare Conditional Payments, Reimbursements

Our office regularly provides consulting advice on the issue of how to steer the Medicare component of a liability claim, involving a Medicare beneficiary, which is destined for trial.   When working with the defense, we recommend that a pleading be filed with the court and served upon plaintiff’s counsel wherein the medical treatment and Medicare expense are methodically set forth.  …
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MARC – Get On Board – Support H.R.#4796 Now!

02 Jun 2010 Roy Franco No Comments

Blog, Medicare Reporting Section 111, Medicare Secondary Payer News

This is your time to stand up and be counted.  MARC needs you to write your Congressional Representatives today to support the Medicare Secondary Payer Enhancement Act.  Why?   Because its the right thing to do. Our Medicare Trust Fund is bleeding red ink and it needs to be fixed.  That’s why Congress enacted the Medicare Secondary Payer Act way back on 12/5/1980 as a method …
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Blog, Medicare Reporting Section 111, RRE

Is it really necessary for the Centers of Medicare & Medicare Services (CMS) to require Responsible Reporting Entities (RRE) to collect private information such as Social Security Numbers (SSN) or Health Identification Card Numbers (HICN) from Medicare claimants who file tort claims? While contradictory to the usual Government mantra for its citizens to protect their private information, CMS has now …
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