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.
The Tampa, Fla.-based company helps workers' comp insurers establish trusts for settlements. The company says under the changes it would no longer be able to process documents from a central location and would have to pay a fee for information.
Under guidance from the Centers for Medicare and Medicaid Services, all workers' comp settlements totaling more than $250,000 involving workers who could become Medicare eligible within 30 months should be reviewed to ensure that Medicare does not begin to pay for care until the settlement runs out, which is done through a set-aside trust.
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