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,…

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Medicare 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…

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Plaintiff 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,…

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Play by the Rules with Medicare Liens

Medicare Lien Resolution

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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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…

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MAJ Lunch and Learn Q&A

MAJ Lunch and Learn Q&A by Ryan Weiner, Esq. COO of MASSIVE

MASSIVE COO and attorney, Ryan Weiner, Esq., recently presented to the Michigan Association for Justice on how Michigan’s No-Fault Reform impacts Medicare liens. Michigan’s no-fault has changed from always unlimited to various limits (including, for some drivers, unlimited). The following are questions Ryan received during that presentation and Ryan’s answers.     Question: “CMS will…

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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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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…

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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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