Daniel Hayes Publishes Book on MSAs: Medicare Issues in Liability and Workers’ Compensation Settlements
Medicare Issues in Liability and Workers’ Compensation Settlements by Daniel W. Hayes, J.D., M.S.C.C., was written to guide practitioners through their analysis of how to best consider Medicare’s interests when resolving claims involving medical exposure. The book is presented from the perspective of an insurance defense attorney with over 18 years in practice, who is a certified Medicare Set-Aside consultant and actively prepares Medicare Set-Aside Arrangements (MSAs), provides opinion letters, verifies liens, and engages with the Centers for Medicare & Medicaid Services (CMS) to resolve liability and workers’ compensation claims. This book was written to guide practitioners through their analysis of how to best consider Medicare’s interests when resolving claims involving medical exposure.
Topics addressed under the Medicare Secondary Payer (MSP) Act include:
- Steps to verify and dispute Medicare conditional payment liens
- Private causes of action to enforce reimbursement on behalf of Medicare
- Potential MSP exposure under the False Claims Act
- Determining if a set-aside allocation is “needed” in a settlement
- Is it ever “required” to submit a settlement to CMS?
- Proposed new rules for liability settlements
- Recent and anticipated changes under the SMART Act
- Suggested release language for both liability and workers’ compensation settlements