Health Advocates Inc. has filed suit against the Social Security Administration over procedural changes the company contends hinder its work to ensure that workers' compensation settlements are in line with Medicare requirements.
Health Advocates, based in Tampa, Fla., is a company that helps workers' comp insurers establish trusts for settlements. Under guidance from the Centers for Medicare and Medicaid Services, all workers' comp settlements totaling more than $250,000 involving workers who can be expected to become Medicare eligible within 30 months should be reviewed to ensure that Medicare does not begin paying for care until the settlement runs out, which is done through a set-aside trust.
Health Advocates performed the checks through the Tampa branch office of the Social Security Administration. The Administration maintains a database that contains, according to the suit, information about beneficiaries of Social Security programs, including the dates upon which those individual beneficiaries became or will become entitled to receive benefits under such programs.
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