Medicare
Medicare 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 MoreCMS Recovery Thresholds Create Safe Harbor
CMS has maintained Medicare lien minimum recovery thresholds for the fourth straight year. These minimum settlement amount recovery thresholds essentially create a safe harbor for the smallest of settlements (except if those settlements are exposure-based injuries). You can find that CMS alert here. Here are some highlights: Plaintiffs need not report settlements less than $750;…
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 MoreTrostle v. Centers for Medicare and Medicaid Services: Part I
Trostle v. Medicare Part I What happens when a personal injury attorney skips out on the Medicare lien resolution process that CMS has set out? Apparently CMS sues the attorney. That’s what happened to a Pennsylvania personal injury law firm, even while they held the total Medicare lien in trust. Here’s the story –…
Read MoreA Guide to Medicare’s New Electronic Payment Function
Medicare has announced it is adding an electronic payment function to its portal starting April 1st. This is an exciting new functionality that can help plaintiff law firms and defense insurance carriers alike. Medicare’s sixty-day limit to pay will feel just a little bit longer with this immediate pay option. We have compiled a step-by-step…
Read MoreMASSIVE’s Medicare Expertise Pays Off
Macomb Law Group has trusted MASSIVE with their tough personal injury cases for some time now. Their firm fights for their client’s right to the compensation that they deserve. While Macomb Law Group fights for their client’s in court, the MASSIVE Team makes sure their clients receive as much of their settlement as possible. …
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 MoreMassive Supports the M&L Summer Legal Forum
Massive will be attending the M&L Summer Legal Forum Marketing conference July 18-22, 2018 in Jackson Hole, Wyoming! As long time supporters of M&L, we are excited to share our lien resolution expertise and contribute to this collaborative group dedicated to success. Massive is the country’s most accurate and reliable lien resolution company, quickly resolving healthcare liens with Medicare, Medicaid, Private…
Read MoreUS 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…
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