Join us tomorrow as we partner with Ametros & WILG to learn* about solutions in claims resolution, MSP compliance, and professional administration. *CLE Credit available in selected states. Topics will include: • New Requirements in Medicare Consent to Release Forms: Beginning on April 1, 2020, the Centers for Medicare & Medicaid Services (CMS) will require…

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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.…

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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…

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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…

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Ahmad Zeki, Director of Business Development at Massive, will be presenting to the Inland Counties Association of Paralegals on Wednesday, January 17, 2018. The topic is ‘Lien Resolution and Future Medicals: The Ever-changing World of Liens & Future Medicals and How to Deal with Them.’ Dealing with lien claims management is frustrating and tedious. Each lien requires…

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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…

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As proud Gold Level Advocates of WILG, we are excited to contribute to this collaborative group dedicated to success! Managing Partner Todd Franklin and Director of Business Development Ahmad Zeki will be presenting to the WILG members at the Annual Convention October 16-18, 2017 in Florida. The topic will be ‘Medicare Set-Asides: What They Do and Do…

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            CMS has awarded its massive Workers’ Compensation Review Contractor (WCRC) for a whopping $60,759,236.00 to Capitol Bridge, LLC.  This contract is nearly $12,000,000 larger than that awarded to Provider Resources, Inc. for the 2011 contract (PRI’s contract award was initially for approximately $24,000,000.00; however, that amount doubled to $48,000,000.00…

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CMS is finally, officially, directly acknowledging that Liability Medicare Set-Aside Arrangements (LMSAs) are coming. Guidance is due. Medicare’s Change Request 9893  and its MLN Matters bulletin on the subject was revised on June 8, 2017. That revision includes the clearest statement that Medicare liens are just part of the puzzle. The newest piece to that…

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As the new exclusive partner of the Workers Injury Law & Advocacy Group (WILG), Massive is excited to be a part of the Annual Conference September 26-28, 2016 in AZ! Massive offers Workers Comp attorneys the expertise and efficiency needed when determining Medicare Set-Aside Opinion Letters, Medical Cost Projections, MSA’s, Life Care Planning and more! Massive also offers Personal Injury attorneys the most…

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