Medicare Lien
Success in Reducing Challenging Medicare Lien
The claimant in this case was a victim of sexual abuse decades ago, which resulted in psychological injuries that totaled $962,580.66 in liens. Due to the recent change in the statute of limitations for sexual misconduct cases, the law firm pursued a recovery for their client with no time limitations for this trauma. However,…
Read MoreMedicare Lien Reduced by 99%
An Arkansas woman sustained injuries to her eye after using the Beovu eye injection from Novartis. The plaintiff ended up with a $75,388.62 Medicare lien. Patricia Stalnaker, Lead Lien Resolution Manager, and the Mass Tort team at MASSIVE reviewed the documentation and saw that a good portion of the treatments were for “age-related macular…
Read MoreMedicare Lien Reduced to $0
A Michigan woman sustained multiple injuries from a motor vehicle accident and built up a Medicare lien of over $15,000. John Buford, Single Event Lead Attorney at MASSIVE, reviewed the ICD codes provided by Medicare and found they included an unrelated injury in the lien amount. After obtaining the necessary documents to back his…
Read MoreMASSIVE Reduces Medicare Lien by over 93%
A Texas woman developed pressure sores due to nursing home negligence. The plaintiff also had previous health ailments that were unrelated to the negligence. During her time in the hospital, she built up a total of $297,357.16 in Medicare liens. After reviewing the case, Christina Sanalitro, Senior Lien Negotiator at MASSIVE, was able to…
Read MoreWhen is a Lien Valid?
Have you ever been nearing the end of a case and been suddenly blindsided by a lien? It can happen, but why? Are all liens valid? Before diving into this topic, read our Lien Resolution 101 blog if you need a refresher on some of the terms we use. When is a Lien Valid?…
Read MoreLien Resolution 101
A good percentage of people in the legal industry are unfamiliar with the term “Lien” or “Lien Resolution”. Throwing in “Rights of Reimbursement” and “Subrogation Rights” can further muddy the waters. Let’s break down these terms and clarify the process. Lien: A lien is money owed to a third party for a debt. After…
Read MoreMedicare 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 MoreMedicare Compliance for Plaintiff Attorneys
The federal government enacted the Medicare Secondary Payer Act in 1980. Since then, it has gone from a toothless idea to recoup money, to a convoluted beast affecting past and future medical payments in all settlements. What areas of the law are most concerning? Medicare Conditional Payments. Essentially, a “Conditional Payment Letter” from Medicare…
Read MorePlaintiff and Defense Cooperation in Medicare Liens
Most settlement agreements miss a vital series of terms that all defendants must report to the government. Those terms are used in Medicare’s Section 111 reporting. They include what date of incident is being reported to Medicare, a clear statement of the settlement amount being reported to Medicare, and injury codes being reported. Sure,…
Read MorePlay by the Rules with Medicare Liens
The US Department of Justice is suing law firms who do not pay their clients’ Medicare liens. Medicare is diligently monitoring firms to make sure their liens are reimbursed fully and timely. There are many examples of Medicare notifying the US Department of Justice when their liens have been ignored. The results are the…
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