Medicare Reimbursement in 2014 Article Featured in DRI’s For the Defense

GRG attorneys, John Cattie and Katie Hosty, were featured in the latest Defense Research Institute (DRI) For the Defense publication with their article entitled – Medicare Reimbursement in 2014: A Risk Management Roadmap for Attorneys. The article breaks down the steps needed to navigate Medicare reimbursement and Medicare Set Asides in 2014. Click here to read the full article! 

DRI For the Defense Medicare Reimbursement


Qualified Settlement Funds and Medicare Set Asides

Question: Do you recommend using a Qualified Settlement Fund while any MSA issues are being resolved? What about including provisions in a Supplemental Needs Trust to pay for either past or future bills? Answer: Great question! We think using a Qualified Settlement Fund (‘QSF”) is a win/win solution for parties who are resolving claims with MSP…


Update on Implementation of ICD-10 Codes for MMSEA Reporting

On April 1, 2014, President Obama signed H.R. 4302, the “Protecting Access to Medicare Act of 2014” which postpones the implementation of ICD-10 codes. Per Section 212 of the Act, the Secretary of Health and Human Services may not, prior to October 1, 2015, adopt ICD-10 code sets. ICD-10 codes are being implemented to provide…


Friday FAQ: Medicare Part C Plan Liens

Question: If a medicare beneficiary opts out of traditional Medicare and uses a BCBS, Humana, AARP plan, and is in an accident and is not put on notice via the replacement plan, is our firm and the beneficiary required to notify the insurance plan of a possible lien/claim? Answer: It would appear that your question…


When Can a Plaintiff Attorney Take Fees on WCMSA?

On March 19, 2014, a Louisiana appellate court rendered judgment in Benoit v. MMR (2014 La. App. LEXIS 716). There, the issue before the court was whether plaintiff attorneys were entitled to collect fees on the seed money portion of the Workers’ Compensation Medicare set-aside Arrangement (“WCMSA”) as determined by the parties and approved by…