How Many Files Can Medicare Open for One Lawsuit?

Most lien holders have one file for all of an individual plaintiff’s settlements. Medicare can have multiple for each of an individual plaintiff’s settlements.   Medicare’s process has its roots in something called Section 111, or Mandatory Insurer Reporting. That law requires all defendants notify Medicare of payments they make, whether they are paying voluntarily…

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2022 Medicare Recovery Thresholds

CMS has announced Medicare lien minimum recovery thresholds for 2022 settlements. Those thresholds are unchanged for the sixth straight year. These minimum settlement amount recovery thresholds essentially create a safe harbor for the smallest of settlements (excluding settlements that include exposure-based injuries). You can find that CMS alert here.   Here are some highlights: Plaintiffs…

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MSAs and Reversionary Interests

Doctor with Stethoscope

Workers Compensation attorneys know the biggest trend in MSAs has little to do with the MSA itself. That trend, of course, is the reversionary interest that says unused funds will revert to the insurance carrier’s control if the claimant/plaintiff passes away. So what does Medicare think of reversionary interests?   Nothing.   Medicare has no…

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MASSIVE’s Ryan Weiner Speaking at the MSA Roundtable during KTLA’s Workers Compensation Section

Ryan Weiner, COO of MASSIVE, will be presenting at the Medicare Set-Asides Roundtable on Friday, December 10, 2021, from 2:30 – 3:30 p.m. (CST).    Key content to be discussed at the Medicare Set-Asides Roundtable includes:  The Do’s and Don’ts of MSAs and EBMSAs  How to protect the Client on a MSA Proposal  30-minute Q & A Session    Attendees must register and be a member of the KTLA Workers Compensation Section. 

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Stay Ahead of the Subrogation Curve

Mass tort lien resolution is complex and time-consuming. There are many steps to take before a lien becomes payable. Because it is easy for subrogation to fall behind, here are some tips to help your law firm stay on track.   Vulnerability to different forms of risk is real. Recognizing and responding to these areas…

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California Medicaid Health Care Liens

By Marcy B. Spitz, Esq.   Resolving Medi-Cal liens, via California’s Medicaid program, is vastly different compared to resolving Medicaid liens in other states. This difference is because Medi-Cal recently changed its process and will NOT issue any summary of Medicaid liens until the personal injury attorney provides settlement information to it.   What does…

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MASSIVE Completely Resolves South Carolina Plaintiff’s Medicare Lien

Careful research and attention to detail played a key role in MASSIVE’s experts resolving a $72,893 Medicare lien to zero.     A South Carolina woman received a delay in diagnosis of a myocardial infarction, which resulted in muscle loss and subsequent surgeries. The plaintiff had a history of hypertension and had previous carotid endarterectomy due to her pre-existing carotid artery disease.     MASSIVE…

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Ryan Weiner, COO of MASSIVE, Speaking at 2021 MTMP Seminar

MTMP’s Fall Seminar is here again! MASSIVE is proud to sponsor this event and to announce that Ryan Weiner, MASSIVE’s COO and experienced lien resolution attorney, is presenting on Wednesday, October 13 at 3:45 p.m. PDT. He will be examining lien resolution and settlement administration strategies for better client outcomes.   Also, be sure to…

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Medical Cost Transparency Update

By Marcy B. Spitz, Esq.   On January 1, 2021, new laws went into effect requiring hospitals to publish prices of their procedures. Since then, many hospitals are not in compliance with the new laws, which is requiring action to be taken to enforce compliance. For example, in April, CMS sent out hundreds of warning…

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Medicare Lien “Mail Bag”

MASSIVE’s Ryan Weiner, Esq. spoke at Rise’s 5th Annual Medicare Secondary Payer Conditional Payment Forum on July 28th. We received some great questions during that presentation, and we wanted to use them to help everyone learn more about the Medicare lien resolution process.    Question: Do you report Wrongful Death as a date of injury or a claim? For example, if a person…

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