MEDICARE COMPLIANCE

Hedrick Gardner formed a Medicare Compliance Group to provide clients with comprehensive Medicare compliance counsel, as well as to oversee and assist Hedrick Gardner attorneys in handling Medicare issues at all stages of the litigation process.

As Medicare continues to solidify its presence in the insurance industry, Hedrick Gardner has been at the forefront in tracking the ever-changing landscape of Medicare compliance and providing critical legal counsel to clients in both the workers' compensation and civil litigation setting. With the passage of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA), it is now clear that Medicare expertise is a fundamental component of handling and litigating insurance claims involving Medicare beneficiaries. Now, not only do insurers face millions in potential federal penalties if they fail to adequately report all Medicare claims to CMS, since all settlements and judgments will be reported, insurers also risk millions in additional penalties if they fail to adequately protect Medicare's interests in handling claims.

In light of CMS's enhanced enforcement capabilities and growing federal enforcement policy objectives, it is essential to have legal counsel that understands the complexities and realities of properly handling Medicare claims. The members of the Hedrick Gardner Medicare Compliance Group are uniquely situated to assist companies with its Medicare needs, whether related to a specific claim or to general compliance concerns. We can assist companies on both a local or national level and are equipped to provide counsel on limited Medicare issues or handle all aspects of a claim. Additionally, due to our familiarity with the claims process, as well as our lean litigation approach, we are best situated to efficiently and cost-effectively handle settlement administration issues that may otherwise be referred to an outside vendor.

Click here to read the article Medicare's Mandatory Reporting Requirements & Their Anticipated Impact on the Insurance Industry.

Source: The Defender, Spring 2010

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