Did you know that Medicare has data on its beneficiaries’ Medicare Advantage Plans, Medicare Supplemental Plans, Medicare Part D Drug Plans, and even Medicaid coverage? Currently, CMS does not provide that additional coverage information to either plaintiffs (and their attorneys) or defendants in the Non-Group Health Plan realm. The Medicare Advocacy Recovery Coalition (“MARC”) is…

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Sometimes we refer to a case where fees and costs exceed settlement as “upside down.” An Indianapolis firm asked us: can a Medicare Plan (meaning Medicare Advantage or Medicare Supplemental Plan) claim a lien in the upside down world? No. Medicare Advantage Plan liens claim their rights exist from the same laws that allow Medicare…

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Please remember Medicare liens for what it considers No-Fault and Workers’ Compensation files may not change for a few days. Performant Recovery, Inc. officially takes over tomorrow, February 8, 2018; however, CGI is handing off all data beginning today, February 7, 2018. All CRC files will re-start processing (mail, faxes, etc.) on Monday, February 12, 2018.…

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As we’ve previously discussed, Medicare’s CRC contractor is changing from CGI to Performant Recovery, Inc. on February 8, 2018. The CRC is having three days of what it is calling it’s, “Dark Days” from February 7 thru 9, 2018. What does this mean? Medicare No-Fault and Workers’ Compensation files will be accessible, but, no additional…

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Medicare (CMS, BCRC, CRC, or any other contractor) does not speak for Medicare Advantage Plans (“MA Plans”). MA Plans do not speak for Medicare. These two statements could not be more important as MA Plan providers like Humana become more aggressive in suing to enforce their Medicare Part C liens. Last week, an attorney asked…

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As proud Gold Level Advocates of WILG, we are excited to contribute to this collaborative group dedicated to success! Managing Partner Todd Franklin and Director of Business Development Ahmad Zeki will be presenting to the WILG members at the Annual Convention October 16-18, 2017 in Florida. The topic will be ‘Medicare Set-Asides: What They Do and Do…

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          Massive Director of Business Development, Ahmad Zeki, J.D., will be presenting at the 45th Annual Meeting of the San Francisco Paralegal Association (SFPA) and MCLE Event on Friday, October 13, 2017 in San Francisco, California! Ahmad will be speaking about ‘Lien Resolution and Future Medicals: How to Deal with them…

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            CMS has awarded its massive Workers’ Compensation Review Contractor (WCRC) for a whopping $60,759,236.00 to Capitol Bridge, LLC.  This contract is nearly $12,000,000 larger than that awarded to Provider Resources, Inc. for the 2011 contract (PRI’s contract award was initially for approximately $24,000,000.00; however, that amount doubled to $48,000,000.00…

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            Humana is continuing to show the strong position it holds for reimbursement of its Medicare Advantage Plans. We posted on this topic 18 months ago when Humana sued the Paris Blank law firm for failing to reimburse it from a PI settlement. On August 18, Humana filed two more…

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Medicare liens driving you to the edge? MASSIVE can help – here is just one example of our outstanding results for plaintiff attorneys: Paul Beechen, a Los Angeles, CA attorney, recently utilized MASSIVE to help his client with a Medicare lien of over $120,000.   MASSIVE was able to step in and successfully reduce the lien…

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