Medicare Lien
Medicare Numbers Transition: Begins April 1
Medicare is finally transitioning its beneficiary ID numbers (known as Health Insurance Claim Numbers, or, HICNs) beginning April 1, 2018. This change is required by a 2015 law, and Medicare first announced this transition nearly a year ago on May 31, 2017. See our previous blog post on this topic by clicking here. How will the…
Read MoreMedicare Reporting Guidelines – 2018 Update
CMS has released its annual SMART Act report to Congress. The report includes the usual updates you’d expect, namely, cost of recovery data and reporting thresholds. Reporting Thresholds First, CMS has updated 2018 Mandatory Insurer Reporting and plaintiff-settlement reporting thresholds. Any settlement below these amounts needs not be reported by defendants (or, “primary payers”) and…
Read MoreMedicare & The Upside Down (Case)
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…
Read MoreMassive Welcomes Brooke Hodge, Director of Business Development
FOR IMMEDIATE RELEASE: Massive Welcomes Brooke Hodge, Director of Business Development, to Innovative Lien Resolution Company SOUTHFIELD, MI, February 27, 2018 Massive (“Massive”), the industry’s most advanced and responsive healthcare lien resolution company, is pleased to announce the addition of Brooke Hodge as Director of Business Development. In her role, Brooke will consult with national…
Read MoreCRC Transition Begins Today (February 7, 2018)
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.…
Read MoreCRC Transition Days – February 7 – 9, 2018
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…
Read MoreCMS’s New Medicare Set-Aside Contractor
CMS can finally move forward with its new Medicare Set-Aside (“MSA”) contractor. While that contract was awarded in September, two organizations challenged that award arguing that CMS “unreasonably failed to permit offerors to make oral presentations and failed to conduct discussions.” More interesting, Arch Systems, LLC argued that the agency “failed to reasonably evaluate the…
Read MoreLiability MSAs on the Horizon. Will they or won’t they?
If you feel like CMS is treating Liability Medicare Set-Asides like a Sitcom love story, you’re not alone. Like the transition to ICD-10 and the implementation of Mandatory Insurer Reporting, the “will they or won’t they” of LMSAs is years in the making. CMS gave us a great cliffhanger…
Read MoreConnections between Medicare & Medicare Advantage Plans
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…
Read MoreMassive Supporting the Oregon Trial Lawyers Association
Massive is a proud supporter of the Oregon Trial Lawyers Association and we are excited to exhibit at the Annual Motor Vehicle CLE on Friday, October 27, 2017! Better Lien Resolution Matters when resolving health care liens for your injured plaintiffs with Medicare, Medicaid, Private Insurance, Military and VA. Our expertise ensures your clients net the highest recovery,…
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