Medicare Set-Aside
Georgia’s New “Limited Medical” Law Shifts Costs to Medicare
The Georgia Governor and Legislature amended the Workers’ Compensation Act to limit the medical benefits afforded to injured workers. Currently, if you are injured on the job, you are entitled to
Read MoreDeath and the Medicare Set-Aside
A colleague recently asked me what happens to the funds placed in an established Medicare Set-Aside when the injured employee/beneficiary dies before the funds are completely exhausted. Since my legal responsibility usually ends once an MSA is established I did not readily know the answer to this question and I had to dig through old…
Read MoreThe Effect Ongoing Medical Payments Have on Medicare Set-Asides
As a general rule federal law requires parties involved in workers’ compensation claim to consider Medicare’s interests in the event of a settlement. 42 CFR 411.46. However there is one major exception to this rule.
Read MoreTaxes and Medicare Set-Asides
As April 15th draws nearer and my mailbox starts to fill with W-2 and yearly interest statements I am reminded of the old adage, only two things in life are certain; Death and Taxes. Oddly enough my recent dealings with Medicare Set-Asides
Read MoreWorkers’ Compensation Settlement and Medicare Set-Asides
Developing a Medicare Set-Aside makes it easy for insurers to consider Medicare’s interests during workers’ compensation negotiations. Federal law requires that employers, group health plans, and insurance companies, consider the Centers for Medicare and Medicaid Services’ (CMS) interests during the settlement of workers’ compensation claims. There are several ways the parties may consider CMS’s interests
Read MoreThe SCHIP Extension Act – Changing How Insurers Do Business
Workers’ compensation insurers will have to change the way they do business, starting July 1, 2009. On this date, the SCHIP Extension Act of 2007 will take effect, forcing
Read MoreHalloween 2008 – A treat for the State’s newest Bar members
Ramos & Law is pleased to announce our newest associate, Tiffany K. Yamini. Mrs. Yamini, along with several of her classmates, received her passing Bar results on Halloween day. Mrs. Yamini is a graduate of Mercer University and had previously clerked with our firm. She now rejoins us to concentrate her practice on Medicare Secondary…
Read MoreViolating the Medicare Secondary Payer Act Can Hurt Insurers’ Bottom Line
Not accounting for Medicare’s interest during workers’ compensation settlements can lead to shortfalls in insurers’ bank accounts. Under the Medicare Secondary Payer Act (MSP), the Center for Medicare and Medicaid Services (CMS) has the right to seek reimbursement of medical expenses paid by Medicare, which the workers’ compensation carrier should have made. [1] The Act…
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