MSP

Medicare Compliance: Reducing MSP Liability for your PI Firm

July 30, 2024

When representing a Medicare beneficiary, personal injury law firms should prioritize compliance with the Medicare Secondary Payer Act (MSP). Inadequate compliance processes can lead to severe consequences, including government actions against the firm. This blog post outlines the risks and best practices related to MSP compliance to safeguard both your firm and your clients.

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Medicare MSP Compliance

Navigating the Maze: Understanding Medicare Compliance in Personal Injury Settlements

July 16, 2024

Representing Medicare-eligible clients in personal injury cases introduces a layer of complexity since it requires compliance with the Medicare Secondary Payer Act (MSP). As trial lawyers, your duty extends beyond securing settlements; you must ensure clients are safeguarded against the potential pitfalls of non-compliance with MSP regulations. Before touching on compliance, it is first important to understand Medicare’s various components and their implications for the injured.

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Medicare MSP Compliance

Medical Cost Projections and Medicare Set-Asides (MSAs)

October 12, 2023

A Medical Cost Projection (“MCP”) report helps a personal injury attorney quantify an injury victim’s future medical expenses. The report is generally prepared by a nurse allocator and will include projections for treatment that might occur as a result of the initial injuries.

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Medicare MSP Compliance

Is it Workers’ Compensation or Liability?

July 18, 2022

Attorneys settling cases involving work-related injuries may find themselves similarly perplexed when it comes to whether a work-related injury will be treated as a workers’ compensation or liability case for purposes of the Medicare Secondary Payer Act (“MSP”).

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Navigating the Shifting Landscape of MSP Compliance

Navigating the Shifting Landscape of MSP Compliance

November 4, 2021

The wait for proposed rulemaking related to Medicare Secondary Payer (MSP) compliance obligations regarding future medical services in liability settlements continues. Although the Department of Health and Human Services issued their initial notification of proposed rulemaking in the fall of 2018, the target date has been moved several times and is currently set for October of 2021. However, focusing solely on the notice of proposed rules will cause a practitioner to overlook the impact of important MSP compliance changes taking place with Section 111 Mandatory Insurer Reporting obligations on settlements.

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