42 C.F.R. §411.37 - Amount of Medicare recovery when a primary payment is made as a result of a judgment or settlement
Cite as | 42 C.F.R. §411.37 |
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8 books & journal articles
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Presuit Activities
...1995).] Medicare’s claim is reduced by a proportionate share of the necessary costs incurred in obtaining the settlement or judgment. [42 CFR §411.37(c).] Medicare’s right to reimbursement accrues when a primary plan, including payment by a tortfeasor, pays for an expense that Medicare init......
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Table of Statutes
...C.F.R § 2575.502(c) ....................................................................................................... § 1:213.10 42 C.F.R § 411.37 ................................................................................................................. § 1:213.4 42 C.F.R § 411......
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Settlement and Alternative Dispute Resolution (ADR)
...used to determine the amount of a reduced Medicare lien reflecting its pro rata share of attorneys fees and expenses can be found at 42 CFR §411.37 (2000). When Medicare payments are less than the judgment or settlement amount, the recovery is determined by determining the ratio of the proc......
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Interviewing the Client and Filing the Case
...to use as a proactive means of addressing the reimbursement issue. § 1:213.4 Step #3: Negotiate the Lien Amount • MEDICARE: Pursuant to 42 CFR § 411.37, the Center for Medicare and Medicaid (CMS) is authorized to compromise Medicare liens and take into account attorney costs and fees. Alway......
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