Medicare
Connections 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…
Read MoreMassive Supporting the Oregon Trial Lawyers Association
Massive is a proud supporter of the Oregon Trial Lawyers Association and we are excited to exhibit at the Annual Motor Vehicle CLE on Friday, October 27, 2017! Better Lien Resolution Matters when resolving health care liens for your injured plaintiffs with Medicare, Medicaid, Private Insurance, Military and VA. Our expertise ensures your clients net the highest recovery,…
Read MoreJoin Us at the WILG Annual Conference October 16-18, 2017
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…
Read MoreMassive Presenting at 45th Annual SFPA Meeting & MCLE Event
Massive Director of Business Development, Ahmad Zeki, J.D., will be presenting at the 45th Annual Meeting of the San Francisco Paralegal Association (SFPA) and MCLE Event on Friday, October 13, 2017 in San Francisco, California! Ahmad will be speaking about ‘Lien Resolution and Future Medicals: How to Deal with them…
Read MoreCMS Begins Teaching Providers About MSAs
CMS issued MLN Matters Number SE17019 on September 19, 2017. Its three pages have one clear intent: teach medical providers how to discover whether they should bill Medicare or the patient’s MSA account. Click here for the full text of MLN Matters Number SE 17019. The article concludes with a section called, “Provider Action Needed.”…
Read MoreCMS Awards New MSA Review Contract
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…
Read MoreMedicare Advantage Liens – Your Law Firm’s Responsibility
Humana is continuing to show the strong position it holds for reimbursement of its Medicare Advantage Plans. We posted on this topic 18 months ago when Humana sued the Paris Blank law firm for failing to reimburse it from a PI settlement. On August 18, Humana filed two more…
Read MoreLiens without Plan Language
Lien resolution often starts with one question: What does the plan language say? More specifically we ask if the private insurance lien (or even the ERISA lien) has contract language explaining its rules for subrogation and liens. Every once in a while we find lien holders and health insurers who tell us there isn’t plan…
Read MoreMaking Medicare’s Automatic Reductions Automatic
Medicare lien resolution can be a headache for many law firms; but if you know its rules, you can take advantage of some helpful regulations. For example, many lawyers ask us about Medicare’s automatic reductions. Here’s the thing: They’re only automatic if you give Medicare what it needs to calculate the reductions. Medicare’s reductions are…
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