42 C.F.R. §411.24 - Recovery of conditional payments

Cite as42 C.F.R. §411.24
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14 firm's commentaries
  • Protecting The Interests Of Medicare Advantage Plans In Settlement Involving Plan Beneficiaries
    • United States
    • Mondaq United States
    • May 24, 2018
    ...also establishes and defines a cause of action by the United States to recover from a primary plan. Id. § 1395y(b)(2)(B)(iii); see also 42 C.F.R. § 411.24 (describing a Government cause of action against a primary plan or any other person that received a primary payment). However, paragraph......
  • Medicare Secondary Payer – A Lot Less Boring Now
    • United States
    • LexBlog United States
    • January 16, 2017
    ...a beneficiary, provider, supplier, physician, attorney, State agency or private insurer that has received a primary payment.” 42 C.F.R. §411.24(g) (emphasis added). Because the defendant lawyer and law firm allegedly “received a primary payment” when they cashed those settlement checks from......
  • Medicare Secondary Payer – A Lot Less Boring Now
    • United States
    • Mondaq United States
    • January 16, 2017
    ...a beneficiary, provider, supplier, physician, attorney, State agency or private insurer that has received a primary payment." 42 C.F.R. §411.24(g) (emphasis added). Because the defendant lawyer and law firm allegedly "received a primary payment" when they cashed those settlement checks from......
  • Exploring Options for Conditional Payment Resolution
    • United States
    • LexBlog United States
    • July 7, 2021
    ...that the primary payer has paid or will make, or in the case of a primary payment beneficiary, the amount of the primary payment.” 42 C.F.R. 411.24(c)(1). Section 411.37(d) of the regulations provides: “If Medicare payments equal or exceed the judgment or settlement amount, the recovery amo......
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