Medical Malpractice, Medicare Madness!

Posted by Matthew Garretson

Question:
I, as well as my clients, have been receiving notifications from Medicare, subsequent to their final notification, requesting repayment amounts, asking for payment of all non-related medical payments, in addition to neg related payments. Does anyone know, what is going on?

-Massachusetts Attorney

Answer:
Since the final demand has been issued, most likely there are two files open on common working file. This usually occurs in a motor vehicle accident, Medicare will open an No Fault and Liability file. The Liability file is closed with the date of settlement; the no fault file is closed with the NF/Med Pay exhaust date. You should contact the COB and/or the MSPRC and tell them they have received the final demand and provide them with the date the demand was paid. They should be able to take care of this over the phone.