Provider Can Bring Medicare Secondary Payer Act Claim

Medicare set-aside experts say that employers and insurance carriers should be concerned with developing case law in a federal trial court that has opened the door to possible exposure to claims for payment by health care providers under the Medicare Secondary Payer Act. A judge from the Eastern District of Michigan is allowing a health care provider to go forward with a claim against a patient's no-fault auto insurance carrier for the full cost of its services and double damages.  Roy Franco, the chief legal officer for Medicare compliance firm Franco Signor, remarked on Wednesd...