Medicare Set-Aside, Workers’ Compensation, Medical Case Management
On December 1, 2009, The United States filed suit to recover conditional payments owed from a class action settlement. See CV 09-PT-2423-E, U.S.A. v. Stricker et al. While the complaint was short and only attached the master settlement documents, it appears that the United States may be seeking reimbursement for conditional payments made both before and after the settlement date. Read the rest of this entry »
Senate health reform efforts will include a proposal to close Medicare Part-D’s “doughnut hole,” providing better prescription drug coverage to seniors.
On 4/3/09, CMS issued a decision that expanded coverage for PET (positron emission tomography) scans in the treatment of cancer patients. Under the new rule, Medicare will cover at least one PET scan for the following eleven types of cancer:
More than 120 organizations, who collectively form the Coalition to End the Two-Year Wait for Medicare, are strongly supporting the Ending the Medicare Disability Waiting Period Act of 2009 (H.R. 1708). The act would eliminate the two-year delay for disabled people who are waiting for Medicare coverage.
CMS recently announced in a moderated teleconference that its new database system will enable online beneficiary verification. The feature is in response to Congressionally-required reporting procedures for insurance carriers. Medicare verification can be queried by four criteria: Social Security number; date of birth; name; or gender. The site is anticipated to be up and running in July 2009.
