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Medicare Compliance

Questions About Medicare Compliance? Contact an Experienced Salt Lake City Attorney


Our firm is on the cutting edge when it comes to Medicare compliance. Since 2001 we have been settling cases with Workers' Compensation Medicare Set-Aside Arrangements (WCMSA). While set-aside arrangements have not spilled over fully into the liability arena, with the passage of the Medicare, Medicaid and SCHIP Extension Act (MMSEA) in December 2007, Medicare compliance has now mushroomed into a growing risk management concern for all entities which provide not only workers' compensation, but liability and no-fault coverage.

Our firm provides compliance education and consultation of insurance carriers, self insured employers and governmental agencies. Compliance is really a threefold process when it comes to the requirements under the Medicare Secondary Payer Statute (MSP):

  • Medicare set-aside arrangements
  • Identification and negotiation of Medicare conditional payments
  • Section 111 of the MMSEA notice and reporting requirements

For those entities who want to avoid the $1000 per day per claim penalty that can be enforced by the Centers for Medicare and Medicaid Services (CMS), compliance is an ongoing concern. We help clients establish workable work flow patterns that will assist them in identifying and reporting Medicare eligible claimants to CMS.

Whether you need assistance with CMS registration, compliance education and/or negotiation of complex settlements involving set-asides, the attorneys at Richards Brandt Miller Nelson have the experience to assist you with all aspects of Medicare Compliance.

Contact a Utah Attorney Experienced in Medicare Compliance to Schedule a Consultation

Insurance carriers, self insured employers and governmental agencies are encouraged to call or e-mail Richards Brandt Miller Nelson to schedule a consultation regarding Medicare compliance with one of our lawyers. The law firm represents clients throughout the State of Utah.

 Carrie T. Taylor

The Utah law firm of Richards Brandt Miller Nelson in Salt Lake City serves clients statewide, including Provo, Ogden, Park City, Sandy, Draper, Orem, Layton, Bountiful, Tooele, Logan, St. George, West Valley City, South Jordan, Taylorsville, Summit County, Davis County, Morgan County, Cache County, Rich County and Weber County.

"We can't solve problems by using the same kind of thinking we used when we created them." - Albert Einstein

Richards Brandt Miller Nelson
299 South Main Street, 15th Floor
Salt Lake City, UT 84111
888-595-8404 (toll free)
801-326-2009 (local)

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