Buffalo residents who suffer a serious personal injury and receive Medicare – either prior to the injury or as a result of it – or may soon be eligible for it may hear the term MSPRC. MSPRC stands for Medicare Secondary Payer Recovery Contractor. It is the organization responsible for recovering medical payments made by Medicare that should have been paid by someone else.
This is important in a personal injury lawsuit because if you are receiving Medicare, Medicare must be notified regarding your lawsuit and any settlement you receive.
Generally, a potential personal injury lawsuit is reported to Medicare by contacting the Medicare Coordination of Benefits contractor. Once they have the information, they will then alert MSPRC of the matter. Once a final settlement is received, MSPRC must be provided with the information so that they can review their records to determine if any payments were made by Medicare that related to the injuries covered by the settlement.
If such payments were made, Medicare may seek reimbursement through the proceeds of the settlement.
Failure to comply with Medicare’s regulations in this area or to withhold reimbursement in a personal injury case may result in fines. Medicare has many rights regarding its ability to recover payment, and you should consult with your attorney if you have any questions regarding this topic to make sure you are proceeding correctly.
{ 0 comments… add one now }