Medicare Compliance

The Medicare Reporting and Reimbursement Compliance regulations are an ever-changing/developing body of law. It is imperative that litigants and their attorneys are cognizant of and implement new procedures in their practice to avoid the costly consequences associated with non-compliance. While the Centers for Medicare & Medicaid Services (“CMS”) publishes information to guide the parties, there is often room for interpretation of the guidelines and, in some instances, no guidelines exist to address certain issues. Kean Miller’s Medicare Compliance Team consists of attorneys with substantial litigation experience in the defense of occupational exposure, toxic tort, products liability, and other personal injury claims in the petrochemical, energy and refining industries. This multidisciplinary team counsels our attorneys and clients through Medicare-related issues arising from personal injury litigation and settlements to ensure that our clients comply with the Medicare regulations and minimize associated risks.

Representative Experience:
  • Establishing internal guidelines for compliance with the Medicare Secondary Payer statutes and Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007
  • Evaluating Section 111 registration and reporting obligations
  • Evaluating Medicare's potential interest in a personal injury award or settlement funds paid to a plaintiff
  • Identifying and minimizing risks of future Medicare-related claims, penalties, and fines arising out of payments to Medicare beneficiaries