Medicare Set-Asides
Do 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: [email protected]…
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 MoreJoin Massive for a Lien Resolution CLE Presentation
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…
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 MoreWhat About LMSAs? CMS Postpones Guidance
The Centers for Medicare & Medicaid Services (“CMS”) continues their progress towards building a process for Liability Medicare Set-Asides (“LMSAs”) and No-Fault MSAs (“NFMSAs”). With that said, CMS has been unable to issue regulations to move the process forward. First, CMS issued MLN Matters Number SE17019 on September 19, 2017. That MLN Matters transmittal was…
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