CRC 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.…

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CRC 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…

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CMS’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…

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Join 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…

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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…

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What 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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Join 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…

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CMS 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.”…

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Medicare Set-Asides are No Longer Set in Stone

The Centers for Medicare & Medicaid Services (CMS) has long followed a clear path toward revising MSAs: You couldn’t. CMS has finally changed its tune. Its newest Workers Compensation Medicare Set-Aside User Guide lays out those changes. First – let’s review the soon-to-be-forgotten, defunct MSA re-review process. The old process did not allow re-review where…

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Massive Welcomes Ahmad Zeki, Director of Business Development

Massive, LLC is pleased to announce the addition of Ahmad Zeki, Juris Doctor as Director of Business Development. Ahmad joins Massive to further develop its growing, national lien resolution services. Ahmad joins Massive with more than 10 years of business experience ranging from sales, client development, executive account management, and medical disability insurance. Ahmad is a…

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