Medicare Set-Asides
Lien Resolution & MSP Compliance CLE *register today*
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…
Read MoreLiability Medicare Set-Aside Requirements
The General “Requirements” of an LMSA: A Technical Review Medicare Set-Asides (“MSA”) cannot exist without Medicare’s right to reimbursement first being stated in the law. Those rights arise from the Medicare Secondary Payer Statute, 42 U.S.C. § 1395y(b)(2) (“MSP”) and 42 C.F.R. 411 et. seq. Then we must note that, MSP regulations and Centers for…
Read MoreMedicare Set-Asides in California
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…
Read MoreMedicare to Pay for Acupuncture to Lower Opioid Use
CMS announced a coverage determination that will allow Medicare to pay for acupuncture that treats chronic low back pain. This new coverage is highly consequential in the legal industry as the stated purpose is to expand options that reduce opioid use. Opioids just so happen to be a major expense in Medicare Set-Asides (MSAs). Health…
Read MoreTrostle v. Centers for Medicare and Medicaid Services: Part III
Trostle v. Medicare Part III This is the third and final part in our case study on Trostle v. Centers for Medicare and Medicaid Services. We initially explained the underlying lawsuit, Medicare’s lien, and Mr. Trostle’s attempts to fight the lien arguing detrimental reliance in Part I. Then, we dove into the more recent case…
Read MoreTrostle v. Centers for Medicare and Medicaid Services: Part II
Trostle v. Medicare: Part II Previously, we wrote about and analyzed Trostle v. Centers for Medicare and Medicaid Services. Following dismissal for lack of jurisdiction, this Medicare lien litigation continued with a counter-suit by the United States government. Part II of our case study will explore errors made that caused the government to react with…
Read MoreDo I Need A Medicare Advantage Plan?
As an adult that has turned 65 years of age, you need to consider your health insurance options. While you are required by law to enroll in Medicare Part A (hospital insurance) and Part B (medical insurance), you have options when it comes to obtaining Medicare Advantage health insurance. The Medicare Advantage Plan is not…
Read MoreCMS and Liability Medicare Set-Asides
CMS’s newest time frame to create a Liability Medicare Set Aside (“LMSA”) process has come and gone. Again. We’ve seen CMS make multiple attempts to create a process and then pull them back. CMS’s Liability Medicare Set-Aside History In 2012, CMS issued an Advanced Notice of Proposed Rulemaking (“ANPR”) requesting comment on potential rules; CMS…
Read MoreNew Contractor Set to Take Over MSA Reviews
Medicare’s new Workers’ Compensation Review Contractor (“WCRC”) is set to take over all Medicare Set-Aside (“MSA”) reviews on Monday, March 19, 2018. The new contractor, Capitol Bridge, LLC, has stated it expects no changes to the process or timeframes for review. It has provided new contact information though: WCRC New Phone: 833-295-3773 WCRC New Email: WCRC@CapitolBridgeLLC.com…
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…
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