Medicare Liens in Workers’ Compensation

Medicare’s process in Workers’ Compensation is generally misunderstood. The best solution? Remember that Medicare will attempt to collect from any source and any settlement.   Medicare will open files relating to a Workers’ Compensation injury in the following manner:  Recovery from the carrier. This file is via the Commercial Repayment Center (“CRC”). We can call…

Read More

MASSIVE’s Ryan Weiner to speak at Kansas Annual Workers’ Compensation Seminar on September 28, 2022

Ryan Weiner, Esq., COO of MASSIVE, will be presenting “Medicare Lien Resolution in Workers’ Comp Claims” at the virtual Kansas Department of Labor’s 48th Annual Workers Compensation Seminar Wednesday September 28th at 2:20pm (CST).   Key content to be discussed includes:  Understanding who is the “debtor” in Medicare’s view  Analyzing the process from plaintiff perspective…

Read More

Medicare Secondary Payer Conditional Payment Forum Q&A

Ryan Weiner, Esq., COO of MASSIVE and long-time authority on liability, no-fault, and workers’ compensation conditional payments, presented at the virtual 6th Annual Medicare Secondary Payer Conditional Payment Forum on July 12. Ryan discussed conditional payments resolution in no-fault claims and received the following questions during the presentation.   Question: “Do Medicare Advantage Organizations act…

Read More

Medicare’s Anti-NSMSA and EBMSA Stance

Medicare does not consider Non-Submit Medicare Set-Asides (NSMSAs) or Evidence-Based Medicare Set-Asides (EBMSAs) as true MSAs. Its announcement came in January with a surprise WCMSA Reference Guide 3.5 release (a new version 3.6 now exists). This surprise includes Section 4.3 which states, “CMS treats the use of non-CMS-approved products as a potential attempt to shift…

Read More

MSAs and Reversionary Interests

Doctor with Stethoscope

Workers Compensation attorneys know the biggest trend in MSAs has little to do with the MSA itself. That trend, of course, is the reversionary interest that says unused funds will revert to the insurance carrier’s control if the claimant/plaintiff passes away. So what does Medicare think of reversionary interests?   Nothing.   Medicare has no…

Read More

MASSIVE’s Ryan Weiner Presenting at the Medicare Secondary Payer Compliance for Beneficiaries Conference in March 2021

Ryan Weiner, COO of MASSIVE and long-time authority on liability, no-fault, and workers’ compensation conditional payments, will be presenting at the virtual Medicare Secondary Payer Compliance for Beneficiaries Conference on Tuesday, March 23, 2021 beginning at 1:05 ET. Ryan will be covering Conditional Payment Resolution.  Key content to be discussed at the conference includes:  Mandatory Insurer Reporting  Medicare Set-Aside Allocations  Real-World Applications  And much more!  Please join Ryan on March 23 at 1:05 ET by…

Read More

Lien Resolution & MSP Compliance CLE *register today*

Join us tomorrow as we partner with Ametros & WILG to learn* about solutions in claims resolution, MSP compliance, and professional administration. *CLE Credit available in selected states. Topics will include: • New Requirements in Medicare Consent to Release Forms: Beginning on April 1, 2020, the Centers for Medicare & Medicaid Services (CMS) will require…

Read More

New York’s Work Comp: New Settlement Rules

ny sec 32

Future Medical Allocations As of March 2, 2020, New York has instituted a new indemnification policy for Workers’ Compensation cases. This change will make future medical allocations more important in order to obtain Workers’ Compensation Board approval. While the policy still requires New York Work Comp attorneys to enter into settlement agreements under specific Section 32…

Read More

Medicare to Pay for Acupuncture to Lower Opioid Use

medicare to pay for acupuncture

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 More