Medicare Super Lien
US Attorneys Prove Ignoring Medicare Is Expensive
Medicare compliance should be a part of every injury firm’s business plan. Need proof? Take a look at this press release from the US Attorney’s Office for the Eastern District of Pennsylvania. Want more proof? Read the settlement agreement between the US Attorney and Philadelphia personal injury law firm Rosenbaum & Associates for nine unpaid…
Read MoreWrongful Death Cases: Can Medicare Still Have its Superlien?
We received this question directly from a plaintiff last week (who also happens to be a practicing attorney): Can Medicare claim its reimbursement right where the case is only a Wrongful Death action? Answer: Maybe. Three Medicare cases help us get to the analysis. First there was Bradley v. Sebelius (621 F.3d 1330, 11th Cir.…
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 MoreMedicare Numbers Revamped
CMS announced that it will begin moving away from its current ID system. That system has long relied on Social Security Numbers as the basis for Medicare’s “Health Insurance Claim Number” or HICN (its name for what we refer to as the Medicare number). While this change is a major positive step toward reducing identity theft,…
Read MoreMedicare Liens Are Limited
Two weeks ago, a California District Court ruled that Medicare can only seek reimbursement for items and services related to the underlying claim. Logical? Sure. But there’s more to it! First, the Court took on Medicare’s combination of ICD-9 or ICD-10 codes into one payment. Second, the Court reminded us all that Medicare’s claim is…
Read MoreOutstanding Medicare Lien Resolution Results
Medicare liens driving you to the edge? MASSIVE can help – here is just one example of our outstanding results for plaintiff attorneys: Paul Beechen, a Los Angeles, CA attorney, recently utilized MASSIVE to help his client with a Medicare lien of over $120,000. MASSIVE was able to step in and successfully reduce the lien…
Read MoreMedicare Can Recover Payment for Any Alleged Injuries
Anderson v. Burwell gives us another example of Medicare’s powerful abilities to recover Medicare liens (or more accurately, Medicare Conditional Payments). The U.S. District Court for the Eastern District of Michigan, Southern Division, decided on March 3, 2016 that any care claimed as related to negligence is recoverable by Medicare. That recoverability is not earth-shattering,…
Read MoreThe Consequences of Ignoring Medicare Advantage Liens
Attorneys are individually liable to Medicare if they receive a settlement or payment on behalf of a Medicare beneficiary. US v. Harris, 2009 US Dist. LEXIS 23956 (N.D. W. Va. 2009). It’s that simple: make sure Medicare gets repaid for its lien. If you don’t: they can come after you. A new case in a…
Read MoreUtah State Bar Opinion Allows Outsourcing Lien Resolution Cost to Plaintiffs
Did you know that your law firm doesn’t have to pay for a lien resolution service? According to the Utah State Bar (among others), a lien resolution service may be outsourced and treated as a client cost. See Utah State Bar Ethics Opinion Number 14-01 (January 2014). The State Bar said: It is ethical for…
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