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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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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Texas Plaintiff’s Medicare Lien Reduced by Over $90,000

MASSIVE’s successful dispute in a nursing home negligence case led to a significant reduction in the Medicare lien. The injuries for this case were for pressure ulcers only, however, the plaintiff had significant hospitalizations with other injuries that Medicare added to the lien. MASSIVE’s expert attorneys reviewed the liens and disputed to Medicare that the…

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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…

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Ethics in Lien Resolution Webinar

webinar

Please join MASSIVE for our webinar “Ethics in Lien Resolution: The Practical Guide to your Decisions” on Tuesday, September 15th at 1pm EDT.  We will be discussing how to navigate legal and ethical requirements that law firms face today when handling lien resolution for their clients. Our free webinar will provide you with tools to…

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Medicare Set-Asides in California

NEWS

California Applicant Attorneys Can Petition for Reimbursement for Costs Associated with Medicare Set-Asides (MSA). Specific language regarding reimbursement of an Medicare Set-Asides is found under Petition of Costs in Section 10545 (formerly section 10451.3): (a) Petition for costs is a petition seeking reimbursement of an expense or payment for service not allowable as a lien…

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