On August 30, 2016, the Appellate Court from the U.S. Southern Florida District provided its opinion about whether a contractual obligation, without a judgment or settlement agreement from a separate proceeding, can satisfy the “demonstrated responsibility” requirement of the private cause of action provided for by the Medicare Secondary Payer (MSP) Act.
Latest Medicare Set Aside News
On July 11, 2016, the United States District Court for the Eastern District of New York provided an opinion for Sexton v. Medicare. This opinion is important to all adjusters and practitioners administering workers’ compensation, liability, no-fault, or employer group health insurance.
On July 22, 2016, the owner of more than 30 Miami-area skilled nursing and assisted living facilities, a hospital administrator and a physician’s assistant were charged with conspiracy, obstruction, money laundering and health care fraud in connection with a $1 billion scheme involving numerous Miami-based health care providers.