Medicare Lien Resolution
Medicare Lien Reduced by Over $100,000 for Florida Plaintiff
The plaintiff in this case suffered multiple injuries including brain bleed and weight loss due to nursing home negligence. His treatments built up a total of $140,209 of Medicare liens. Medicare added other claims that it paid while the plaintiff was in the nursing home for his brain bleed and other injuries. John Buford,…Read More
MASSIVE Completely Resolves Medicare Lien for Connecticut Plaintiff
A Connecticut man received a delayed diagnosis of parotid cancer. This is an aggressive form of cancer and can be terminal. However, if caught early, life expectancy can be prolonged with early intervention. MASSIVE’s experts established that the treatment on his lien was medically necessary for the plaintiff’s cancer care and would have occurred…Read More
Oklahoma Plaintiff’s Medicare Lien Fully Waived by MASSIVE
MASSIVE ensured an Oklahoma Plaintiff was able to take home her full net settlement despite a Medicare lien that was more than ten times the settlement amount. The plaintiff was a part of a mass tort Genzyme Hernia Mesh claim. The lien amount was over $100,000 and not part of a global resolution, which…Read More
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…Read More
Are you Resolving the Right Medicare Lien?
There can be multiple Medicare liens for one personal injury event. Let that sink in. We can acknowledge Medicare lien resolution is difficult enough, but how can there be multiple Medicare liens for one personal injury case? The Centers for Medicare and Medicaid Services (CMS) has created a complex system where different “debtors” look at different Medicare lien…Read More
Another Successful Lien Resolution!
A MASSIVE Lien Resolution Increases Settlement for Plaintiff MASSIVE increases settlement and reduced liens by $1,500,000 for a motorcycle rider from Nassau County, New York. The 19 year old plaintiff was involved in an accident near a bridge within an unmarked construction zone. The case settled against the construction company for $4.8 million due to injuries…Read More
Texas PI Firm Sued for Failure to Pay Medicare Lien
The US Attorney’s Office has filed suit against another personal injury law firm for failing to pay a Medicare lien. Previous similar actions have been settled with firms in the northeast and Atlantic coast that ignored liens. This time, the law firm paid something to Medicare, but tried to reduce the lien using improper, non-administrative…Read More
Medicare Reimbursement: What Happens When You Overpay Medicare?
In a personal injury lawsuit, there is a health insurance carrier responsible for health care bills. If your client is covered by Medicare at the time of your injury you must report the injury to Medicare and your client will likely owe them for part of that care. If you happen to overpay Medicare during…Read More
Medicare Liens: The DOJ is watching
Medicare Liens are the responsibility of the plaintiff attorney and today, the DOJ is now proving that true as they are watching carefully. The US Department of Justice announced various settlements with PI firms (all within the last 18 months) including: $6,600 with Simon & Simon in Philadelphia $28,000 with Rosenbaum & Associates in…Read More
CMS Recovery Thresholds Create Safe Harbor
CMS has maintained Medicare lien minimum recovery thresholds for the fourth straight year. These minimum settlement amount recovery thresholds essentially create a safe harbor for the smallest of settlements (except if those settlements are exposure-based injuries). You can find that CMS alert here. Here are some highlights: Plaintiffs need not report settlements less than $750;…Read More