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Tag: Medicare Secondary Payer Act

Reimbursement of Conditional Medical Payments

MAO may seek reimbursement from law firm

In the first opinion of its kind, a federal district judge in Virginia recently held that a Medicare Advantage Organization (“MAO”) may utilize the Medicare Secondary Payer Act’s (“MSP”) private right of action to pursue a claim for reimbursement of covered medical expenses against the plan beneficiary’s personal injury attorney. In Humana Ins. Co. v. Paris Blank LLP, defendant Paris Blank moved to dismiss Humana’s complaint, which sought reimbursement of conditional medical payments.  Humana contracts with the Centers for Medicare […]