Mealey's Health Law - 6th Circuit Reverses Decision; Private Right Of Action Exists In Medicare Payment Dispute

Mealey's Health Law - 6th Circuit Reverses Decision; Private Right Of Action Exists In Medicare Payment Dispute

CINCINNATI - A panel of the Sixth Circuit U.S. Court of Appeals held July 16 that a health care provider can bring a claim under Medicare Secondary Payer Act's private cause of action against a non-group health plan that denies coverage for a reason other than Medicare eligibility (Michigan Spine and Brain Surgeons v. State Farm Mutual Automobile Insurance Co., No. 13-2430, 6th Cir.; 2014 U.S. App. LEXIS 13499).

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