# MASSIVE > DON'T SETTLE FOR LESS ## Posts - [Proud Achievements and a Bright Future: A Message from NLVA’s Past President](https://gomassive.com/proud-achievements-and-a-bright-future-a-message-from-nlvas-past-president/): By Ryan Weiner, Esq.   In January 2023, I had the privilege of becoming President of the Mass Tort Vendor Association (MTVA). Two years later, I am honored to transition into the role of Past President of what is now the National Legal Vendor Association (NLVA).   This transformation from MTVA to NLVA fills me with immense pride. What began as a small, niche concept has evolved into the preeminent association for legal service organizations—a space that previously lacked a unifying body. The NLVA now serves as a welcoming home for all legal service providers and assures attorneys that their… - [$252k Veterans Affairs Lien Reduced to $0](https://gomassive.com/252k-veterans-affairs-lien-reduced-to-0/): Sexual abuse cases can be complex to resolve. Recently, MASSIVE assisted a plaintiff the Veterans Affairs office claimed owed over $252,000 in liens from therapy sessions.   Carrie Hornsby, Lien Negotiation Specialist at MASSIVE, examined each of the 4,000 pages of treatment dates and notes to discover what they were being treated for and why. When reviewing the documentation, Carrie found that none of the therapy was related to the abuse. After presenting her research to the lien holder, they agreed to reduce the VA lien to $0.   “VA disputes are very time-consuming,” said Carrie. “But our hard work… - [New Portal Coming in 2025](https://gomassive.com/new-portal-coming-in-2025/): Big news! We’re announcing the launch of our new customer Portal…coming your way in 2025.   The portal is being redesigned to offer you a more user-friendly experience for your lien resolution cases and cost projection submissions. These upgrades will significantly enhance the case submission process, communication with your MASSIVE team, and provide a cleaner, easier-to-use dashboard!   More details about the launch can be found on our FAQ page. More questions? Contact us at portalhelp@gomassive.com.   - [How to Reach Top Settlements for your Seriously Injured Clients](https://gomassive.com/how-to-reach-top-settlements-for-your-seriously-injured-clients/): We know you will do anything you can to reach top settlements for your injured clients. Catastrophically-injured plaintiffs need extra support. That’s why we’ve created MASSIVE Life Care Plans (LCPs).   Our LCPs, assess your plaintiff’s needs and coordinate with treating providers and the plaintiff’s family to make sure all future care needs are individually examined. In addition, our LCPs can be certified by our physician. Here’s an in-depth look at the program:   Preparation:   Determining the value of long-term needs is difficult. MASSIVE’s expert team of nurses employ a deep understanding of the analysis necessary to prepare a Life… - [Nursing Home Medicare Lien Disputes Result in Huge Reduction](https://gomassive.com/nursing-home-medicare-lien-disputes-result-in-huge-reduction/): A Texas woman was a long-term resident at a nursing home. Before her time at the facility, she had multiple hospitalizations for UTIs and was also at high risk for pressure ulcers. The facility neglected to properly manage and care for her pressure ulcer wounds, which became infected and ultimately led to her sepsis-related death.   This was a complicated case, due to the plaintiff’s pre-existing and underlying medical issues. After carefully reviewing the case details, Christina Sanalitro, CP, Senior Lien Negotiator at MASSIVE, made numerous disputes using medical records, reports, and billing information. The hard work paid off, as… - [MASSIVE’s Medical Cost Projection Increased Settlement Value to over $900k](https://gomassive.com/massives-medical-cost-projection-increased-settlement-value-to-over-900k/): If you’re looking for a powerful tool to increase your settlement outcomes, here’s just one example of how a future medical cost projection can help.   A worker’s compensation attorney in South Carolina contracted MASSIVE to prepare a Medical Cost Projection for their client. The state employee had fallen when trying to help a patient. Our nurse carefully reviewed the medical records and projected the correct care over the claimant’s lifetime, including surgeries, medications, and pain management.   Per the attorney’s request, the cost projection was created with 2 rate schedules – State WC rate and Usual and Customary rate.… - [$933k Medicaid Lien Reduced to $0](https://gomassive.com/933k-medicaid-lien-reduced-to-0/): Like thousands of other Cordis IVC filter plaintiffs, a Utah woman was injured after receiving the implant. When receiving care for her injuries, she totaled $933,326.95 in Medicaid liens.   With mass tort lien resolution, there are many factors that need to be reviewed and scrutinized, such as implantation date, removal attempts, and underlying medical conditions. Lien Negotiation Specialist, Mike Cho, and the Mass Tort team at MASSIVE reviewed the information and found the lien consisted of the claimant’s medical history from when the IVC filter was installed to when the lien was sent for review. After thorough review of… - [Settlement Delays: Who Bears the Burden?](https://gomassive.com/settlement-delays-who-bears-the-burden/): By Marcy B. Spitz, Esq, Partner at MASSIVE   In the Mass Tort world, many lives are affected directly by products and services. Once those afflicted with disease, injury, or immutable conditions occur, those around them are left to pick up the pieces. Many of those loved ones are women caregivers in their respective families. Often, these women are acting as head of the household both inside and outside of the home. The delays in financial recoveries can cause excessive stress on these women that play so many roles in the injured parties’ lives.   Currently, there are numerous mass… - [Lock your Liens with MASSIVE](https://gomassive.com/lock-your-liens-with-massive/): Medicare’s Final Conditional Payment Process is a crucial aspect of handling Medicare liens in legal settlements.   Here’s how it works: Locking Lien Amounts: The process allows law firms to lock lien amounts for a three-day period surrounding the expected settlement date. This helps in determining the precise amount owed to Medicare. Once initiated, there’s a 120-day window to complete the process. If the settlement doesn’t occur within this timeframe, the option to lock the lien is no longer available for that claim. However, even if the settlement process extends beyond the 120-day period, Medicare’s final lien can still be… - [Quick Reduction of Private Lien for Michigan Plaintiff](https://gomassive.com/quick-reduction-of-private-lien-for-michigan-plaintiff/): A Michigan man sustained injuries from a motor vehicle accident and built up over $15k in private healthcare liens. MASSIVE’s Single Event Lead Attorney, John Buford, reviewed the case and negotiated with the lien holder. Our team quickly obtained a 35% reduction…within four days!   The firm was extremely pleased with the results and timeframe, saying “Wow, that’s a huge reduction, thank you!”   Put more money in your plaintiff’s pocket by putting MASSIVE on the case! Login to our Live Data Portal and upload your cases today or contact us at 833-466-2774 or sales@goMASSIVE.com.   - [Florida Medicaid and Kansas Medicaid Liens Reduced by $514,176.73](https://gomassive.com/florida-medicaid-and-kansas-medicaid-liens-reduced-by-514176-73/): A Florida man received a faulty heart valve device in 2020. Tragically, the surgery to remove the device led to the man’s death a couple years later. From the implant of the heart valve, until his death, the claimant’s treatment and care had built up multiple liens, the two largest liens being Florida Medicaid ($126,175.03) and Kansas Medicaid ($412,693.90).   After reviewing the information, Andre DePalma, Lead Lien Negotiation Specialist at MASSIVE, discovered the big issue caused by the faulty device was actually severe neurological complications, such as stroke or brain damage. Technically cardiac problems themselves were not the main… - [MASSIVE Announced as Exclusive Lien Resolution Administrator for Endo Opioid Bankruptcy Trust](https://gomassive.com/massive-announced-as-exclusive-lien-resolution-administrator-for-endo-opioid-bankruptcy-trust/): MASSIVE: Medical and Subrogation Specialists have been selected by the Personal Injury Trustee and Claims Administrator to be the exclusive Lien Resolution Administrator for the Endo Opioid Bankruptcy Trust.   MASSIVE has a wide range of experience working on Mass Tort projects and was also selected as the exclusive lien resolution administrator in the Just for Men hair dye, Mallinckrodt Opioid Bankruptcy Trust, Purdue Opioid Bankruptcy Trust, Cordis IVC filter, and as the Flint Water case co-lien resolution administrator.   “MASSIVE is excited to, once again, help those harmed by the Opioid crisis,” says Ryan Weiner, Esq., Partner at MASSIVE.… - [Valuable Tools to Increase Settlement Outcomes](https://gomassive.com/valuable-tools-to-increase-settlement-outcomes/): How do you determine future medical costs for your case? Some firms ‘guess-timate’ and lose out on an accurate picture of these costs. Here at MASSIVE, we know how to protect your case and increase your settlement outcomes!   Medical Cost Projections (MCP) are an invaluable tool used to forecast future medical costs and uncover expenditures not listed in a Medicare Set-Aside. The MCP is prepared by a nurse and is best used to establish a medically accurate basis to increase settlement claims.    The allocation report will include:  A brief medical summary  An itemized spreadsheet containing procedures, treatments, and… - [Success in Reducing Challenging Medicare Lien](https://gomassive.com/success-in-reducing-challenging-medicare-lien/): The claimant in this case was a victim of sexual abuse decades ago, which resulted in psychological injuries that totaled $962,580.66 in liens.   Due to the recent change in the statute of limitations for sexual misconduct cases, the law firm pursued a recovery for their client with no time limitations for this trauma. However, because these incidents occurred decades ago, the lien was difficult to dispute.     Our experts worked tirelessly with the law firm to obtain the proper history of the case. Christina Sanalitro, CP, Senior Lien Negotiator at MASSIVE, ultimately was able to establish which conditions were… - [Self-Funded ERISA Plan Lien Reduced by 87%](https://gomassive.com/self-funded-erisa-plan-lien-reduced-by-87/): A Pennsylvania mother was badly hurt in a motor vehicle accident, which resulted in her baby’s premature birth. The child had significant injuries that totaled $222,792.52 in liens. Because this was a self-funded ERISA plan, it would be difficult to argue for reductions because of the strong plan language.   John Buford, Single Event Lead Attorney at MASSIVE, obtained the medical records and argued there was treatment included in the lien that was not directly related to the accident. As our experts do with all cases, John reviewed the ERISA plan language in-depth to ensure the Plan had rights to… - [What to Expect from Senate Bill 410](https://gomassive.com/what-to-expect-from-senate-bill-410/): Michigan has repealed the immunity provision of its Product Liability Act. This provision has been on the books for the last 30 years, allowing Michigan companies to shield themselves from liability for many cases, including opioid use.   Senate Bill 410 went into effect on February 13, 2024, but without any retroactive effect. Injuries that occur after this date will now be actionable under the new law. As such, we can expect to see an increase in product liability litigations in Michigan.   MASSIVE specializes in lien resolution and is here to help law firms in Michigan and around the… - [MASSIVE Increased Settlement by $110k with Medical Cost Projection](https://gomassive.com/massive-increased-settlement-by-110k-with-medical-cost-projection/): Recently, a worker’s compensation firm asked us to review one of their cases. Their plaintiff required a shoulder replacement. The defense initially offered $100,000 based almost entirely on past medical bills.   Our nurse reviewed the documentation and created a Medical Cost Projection that accurately projected the cost for surgery, recovery, follow-up, and all related expenses. As a result, the attorney obtained a settlement of $210,000!   If you’re looking to increase your settlement outcomes, contact us! We take the guesswork out of future medical care costs. Our easy process ensures your reports are created within 30 days, and our… - [Firm Profitability: Key Indicators to Track](https://gomassive.com/firm-profitability-key-indicators-to-track/): By MASSIVE Partner, Todd Franklin   Many attorneys tell me they want to run their law firm more efficiently, but don’t know how to get started. If lien resolution is a concern, my advice is to focus on both Leading and Lagging Indicators. Indicators from pre-settlement to post-settlement can teach you about your business and are important “snapshots” that offer actionable insight.   Key Indicators: Time on Desk (Post-Settlement)  Subrogation Timeframe (Pre- and Post-Settlement)   Client Satisfaction Index (Pre- and Post-Settlement)   An important indicator is the number of days between settlement and disbursement, also known as “Time on Desk”. These… - [Looking Ahead in 2024: Women in Mass Torts](https://gomassive.com/looking-ahead-in-2024-women-in-mass-torts/): By MASSIVE Partner, Marcy B. Spitz, Esq.   The plaintiff-side of mass torts has admirably attempted to increase diversity. These improvements continue into 2024 with many mass tort cases expected to come to the forefront with more diverse leadership. Judges, law firm leadership, and the public are acutely aware of the need to have diverse leadership handling these cases. Claimants want to see and hear from those that understand their experiences. Statistically, more mass tort cases involve claimants who are women or people of color. These clients are finally beginning to see themselves in their attorneys.   MASSIVE is proud… - [Medicare Lien Reduced by 99%](https://gomassive.com/medicare-lien-reduced-by-99/): An Arkansas woman sustained injuries to her eye after using the Beovu eye injection from Novartis. The plaintiff ended up with a $75,388.62 Medicare lien.   Patricia Stalnaker, Lead Lien Resolution Manager, and the Mass Tort team at MASSIVE reviewed the documentation and saw that a good portion of the treatments were for “age-related macular degeneration” instead of the actual injury from the eye injection.   After disputing the claim, MASSIVE was successful in reducing the Medicare lien down to $92.80 – a 99% reduction for the plaintiff!   “Thank you for the good work. In the past year, I… - [Sexual Assault Cases: Steps to Avoid Lien-Related Delays](https://gomassive.com/sexual-assault-cases-steps-to-avoid-lien-related-delays/): Changes to our societal norms and state laws have allowed hundreds of thousands of sexual assault victims a chance to settle lawsuits. With that increase comes the need to understand and pursue lien resolution for both physical and emotional claims in these cases. Treatment for these injuries was paid by insurers that may have subrogation/reimbursement rights.   These cases can be particularly sensitive and painful for the victims involved. They range from young athletes to older adults. It is important to handle these cases with an eye towards privacy, compassion, and determination. Lien resolution requires the same kind of attention… - [Success in Reducing Difficult Self-Funded ERISA Plan Lien](https://gomassive.com/success-in-reducing-difficult-self-funded-erisa-plan-lien/): Medical malpractice cases where the injuries may alter their life but not necessarily result in constant treatment are difficult to prove the future medicals and distinguish pain and suffering. Recently, one of our firms represented a Pennsylvania man who suffered from an MRSA infection due to medical malpractice. As a result, he totaled $661,769.86 in a Self-Funded ERISA plan lien.   This being a self-funded ERISA plan, the law and plan language would be difficult to argue. The right to full reimbursement was what the ERISA plan wanted regardless of the details of the case. The lien outweighed any recovery… - [Medicare Lien Reduced to $0](https://gomassive.com/medicare-lien-reduced-to-0/): A Michigan woman sustained multiple injuries from a motor vehicle accident and built up a Medicare lien of over $15,000.   John Buford, Single Event Lead Attorney at MASSIVE, reviewed the ICD codes provided by Medicare and found they included an unrelated injury in the lien amount. After obtaining the necessary documents to back his argument, he was able to successfully dispute the unrelated claims. Ultimately, the lien was reduced to $0!   “Our unique experience reviewing liens and corresponding ICD codes allows MASSIVE to find codes that others might not be able to see as easily,” said John. “We… - [Discovering a Trusted Partner](https://gomassive.com/discovering-a-trusted-partner/): By Todd Franklin, Partner at MASSIVE   In my previous blog on Cultivating a Culture for Profitability, I discussed the importance of categorizing your tasks based on if they are profitable or not. I’ve received a lot of positive feedback from firms. They find that focusing on revenue-generating work leads to a more upbeat and efficient team!   Now that we’ve detailed the process by which tasks are categorized into profitable or unprofitable buckets, we can talk about the next step: Outsourcing your unprofitable work.   Outsourcing is the next logical step to take when you think about it. If… - [MASSIVE Reduces Medicare Lien by over 93%](https://gomassive.com/massive-reduces-medicare-lien-by-over-93/): A Texas woman developed pressure sores due to nursing home negligence. The plaintiff also had previous health ailments that were unrelated to the negligence. During her time in the hospital, she built up a total of $297,357.16 in Medicare liens.   After reviewing the case, Christina Sanalitro, Senior Lien Negotiator at MASSIVE, was able to establish that the hospital stay was mostly for other health ailments. Initially, this was difficult to argue, but she was ultimately successful in negotiating the case based on the legal arguments and the billing records that supported our dispute. The final lien amount was reduced… - [MASSIVE Announced as Lien Resolution Administrator for JCCP No. 4977](https://gomassive.com/massive-announced-as-lien-resolution-administrator-for-jccp-no-4977/): The Superior Court of the State of California in Alameda County has selected MASSIVE: Medical and Subrogation Specialists to be the Lien Resolution Administrator for the JCCP No. 4977. The lien resolution process is moving along steadily as MASSIVE has already negotiated Lien Resolution Programs with multiple subrogation firms and established a Medicare Global Resolution Program for this litigation.   Because of their wide range of experience working on Mass Tort projects, MASSIVE was also selected as the exclusive lien resolution administrator in the Just for Men hair dye, Mallinckrodt Opioid Bankruptcy Trust, Purdue Opioid Bankruptcy Trust, and as the… - [$229k Private Lien Completely Waived for Mass Tort Claimant](https://gomassive.com/229k-private-lien-completely-waived-for-mass-tort-claimant/): A Florida client developed lung cancer from asbestos and totaled a private healthcare lien of $229,037.41.   Andre DePalma, Lien Negotiation Specialist, and Chelsea Wales, Lien Resolution Manager at MASSIVE reviewed the case and saw that the copays and deductible alone were already half of the net settlement. This lien holder is notoriously stubborn in negotiations, but that didn’t stop our team. After discussing the facts of the case with the lien holder, our experts were successful in obtaining a full waiver of the lien.   “There was no arguing that the treatment on the near quarter million-dollar lien wasn’t… - [Future Medical Allocations 101](https://gomassive.com/future-medical-allocations-101/): If you’re looking for a way to increase your settlements (and who isn’t?), then Future Medical Allocations (FMAs) could be the answer.   FMAs are a great leverage tool and are used to provide client protection and maximize case value. They safeguard a plaintiff’s future benefits and protect the firm from unnecessary risk. Any case that has expected future care can benefit from an FMA.   What is the purpose of FMAs?   Used to determine the true future medical costs  Medicare Set-Asides (MSAs) are an example of a limited FMA  MSAs have limitations and do not include anything that Medicare… - [Strategies for Better Results for your Mass Tort Cases](https://gomassive.com/strategies-for-better-results-for-your-mass-tort-cases/): When working on your mass tort cases, do you handle the lien resolution process differently than your single event cases? Mass tort lien resolution can be very similar to that of single event cases. Preparation is the key to handling any case, whether it’s on a large scale or not.   Best practices are to ask your clients who insured them at any point since their injury-inducing event. This is important information that can shed some light on their case. This is where the mass tort process can diverge from single event. MASSIVE can use “global resolution programs” that allow… - [Female Attorneys’ Important Role in Mass Tort](https://gomassive.com/female-attorneys-important-role-in-mass-tort/): By Marcy Spitz, Esq   In the area of mass tort law, the involvement of female attorneys has proven to be a transformative force, especially in cases related to women’s health product safety and women’s health overall. These legal experts bring a unique perspective, empathy, and an innate understanding of the salient factors that define such cases. This area of the law continues to evolve with the significant contributions of female attorneys gaining attention as they advocate for justice, empowering women and driving systemic change. I am one of those female attorneys striving to make the post settlement process better… - [What Kind of Cases Benefit from a Future Medical Allocation?](https://gomassive.com/what-kind-of-cases-benefit-from-a-future-medical-allocation/): Do you have questions about what kind of cases benefit from projecting out future medical costs?   Let’s take a look at a few scenarios:  Any case that has any future care with some treatment and Rx. If you feel like you can increase your case by $5k, you can utilize our allocation. This includes Worker’s Compensation cases as well as Liability cases  Medicare eligible clients  Undervalued cases trying to realize policy limits  Injuries – future surgical recommendations, active Rx, past surgeries, herniations, fractures, etc. typically have future care    Future Medical Allocations can improve your case by:  Gaining Leverage: Our… - [Cultivating a Culture for Profitability](https://gomassive.com/cultivating-a-culture-for-profitability/): By MASSIVE Partner, Todd Franklin   Law firms’ workload is insane! I’ve been working with contingency law firms for over 15 years, and I see work happening knowing the same work can be done more profitably.   Subrogation is one of those administrative pieces that can operationally bog a law firm down. My time speaking with law firms has shown me that lien resolution is a burdensome load of tasks and working on subrogation hasn’t had a better solution. It’s not work they necessarily enjoy, and often, it’s not where they are best suited. This can lend itself to creating… - [MASSIVE's Mass Tort Team Disputed a $1M Private Lien to $0](https://gomassive.com/massives-mass-tort-team-disputed-a-1m-private-lien-to-0/): The prescription drug Uloric caused a stroke for a New Jersey client. Like other patients that used this drug, this patient was elderly and suffered from multiple, unrelated health issues including heart problems, and needed surgery. The plan claimed that the surgery and follow up treatment was related to the Uloric case. As a result, the client totaled over one million dollars in private healthcare liens.   Lauren Feder, Lien Negotiation Specialist and MASSIVE’s Mass Tort Team reviewed and found that none of the claims on the lien were related to the stroke.  The entire lien was disputed.   “The… - [Xcelerate Your Profitability 2023](https://gomassive.com/xcelerate-your-profitability-2023/): The Xcelerate Your Profitability event is coming to Las Vegas on September 13! This is a great opportunity for firms to discover strategies and processes to grow their business. Be sure to stop by and visit our table by the photobooth. We’d love to talk over your cases and show you why MASSIVE is the nation’s leading independent provider of healthcare Lien Resolution!   MASSIVE is excited to support this event, and we’re especially proud to have our Partner, Todd Franklin, contribute to the Xcelerator Law Firm Consultants’ podcast, “Grow Fast, Grow Smart: The PI Playbook by Xcelerator”. Todd shares… - [Do you need an MSA? Questions to Ask](https://gomassive.com/do-you-need-an-msa-questions-to-ask/): Wondering if you need an MSA for your Auto or Liability case? Medicare Set-Asides are a vehicle to make certain that Medicare maintains its “secondary payer” status. If payment can reasonably be expected to be made under an automobile or liability insurance policy, they are defined in the statute as a “primary plan.” It then follows that Medicare should only pay if the primary payer’s funds for the underlying case have been exhausted. This statement is the basis for any MSA.   An MSA may be necessary wherever a settlement honestly anticipates the need for future medical care and provides… - [Private Insurance Lien Waived after Persistent Arguments](https://gomassive.com/private-insurance-lien-waived-after-persistent-arguments/): A Michigan man sustained injuries from a motor vehicle accident and built up $19,127.53 in private healthcare liens. MASSIVE’s experts John Buford, Single Event Lead Attorney, and Ilayda Kartum, Senior Lien Resolution Manager, reviewed the plan language and confirmed the plan only had rights to recover from any settlement that included medical bills. This settlement was for pain and suffering and did not include medical bill recovery.   After providing this information to the Plan, they ultimately agreed they did not have any rights and closed their file.   “Obtaining and reviewing the Plan language is one of the most… - [AAJ 2023 Annual Convention](https://gomassive.com/aaj-2023-annual-convention/): The American Association for Justice (AAJ) is hosting the 2023 AAJ Annual Convention, July 14-18 at the Philadelphia Convention Center and our team is excited to see you there!   We are pleased to support this event and are looking forward to sponsoring the Nursing Home Litigation Group CLE on Saturday, July 15. We hope you join us and earn your CLE credits! This is a great opportunity to connect with other attorneys and discuss the benefits of lien resolution services.   Contact us if you’d like to schedule a meeting during the convention. We look forward to connecting!   - [How to Resolve Medicare Conditional Payments](https://gomassive.com/how-to-resolve-medicare-conditional-payments/): As a personal injury attorney, it is critical to know and understand the best way to resolve Medicare Conditional Payments. First, be prepared and plan a strategy to know approximately how much the lien will be as the case progresses. Second, communicate with your client so they understand that a lien may exist and that their settlement or judgment will be reduced because of the Medicare lien. Setting clear expectations for everyone involved is the key to a harmonious relationship and successful results.   Best Practices for Medicare Liens:   Recognize and report the case to Medicare. This must be done… - [$133k Private Lien Completely Waived](https://gomassive.com/133k-private-lien-completely-waived/): A Georgia man received significant injuries from a motor vehicle accident. His settlement did not fully compensate him for past and future pain and suffering.   MASSIVE’s experts have a great relationship with this lien holder due to extensive work with them in the past. John Buford, Single Event Lead Attorney, and his team successfully argued that the settlement did not make the plaintiff whole for his injuries. After some back-and-forth negotiations, the lien holder ultimately agreed and completely waived the $133,546 lien.   “We work hard at MASSIVE to build close relationships with lien holders, and that allow us… - [Do You Report to a Potential Lienholder?](https://gomassive.com/do-you-report-to-a-potential-lienholder/): When an attorney begins her case, the law firm has (hopefully) already asked the plaintiff about his health insurance. The attorney then asks herself; I need to tell this health insurance it may have a “lien” right? Here’s how to make that decision.   First, recall that the term lien is generally a misnomer. Take a look at our Lien Resolution 101 blog post that explains most of these legal rights are either subrogation, contractual, or statutory rights of reimbursement, or both. These legal rights are much stronger than a lien because they exist regardless of the health insurer’s activity… - [What Does an MSA Cover?](https://gomassive.com/what-does-an-msa-cover/): Do you have cases that need a Medicare Set-Aside (MSA)? Or maybe a Medical Cost Projection is a better fit? Let’s review what IS and IS NOT in a Medicare Set-Aside.    Medicare Set-Asides cover the basics of medically necessary treatments and prescriptions:  Medicare Part A Covers: Hospital care, home health care, skilled nursing facility, hospice care.  Medicare Part B Covers: Medically necessary doctoral services, ambulance services, lab tests, x-rays, durable medical equipment (but not all).    What are you missing that Medicare does not cover?  Many procedures, treatments, home attendants, prescriptions, and much more.  A significant amount of these… - [Mastering Self-Funded ERISA Plans](https://gomassive.com/mastering-self-funded-erisa-plans/): ERISA Plans can be intimidating, but they don’t have to be. Educating yourself on how they operate is an essential step to achieving the best results for your case.    In general, lien resolution can be a time-consuming and tedious process. But (because of recent power via the US Supreme Court) self-funded ERISA Plans can be more difficult. They are saying “no” to reduction arguments of their liens.   Common responses on ERISA liens include:  “The Plan has to consider all of the Plan members and not just your client. If we offer a reduction to your client, all of… - [MASSIVE Reduces Medicare Liens for Mass Tort Claimants by 94%](https://gomassive.com/massive-reduces-medicare-liens-for-mass-tort-claimants-by-94/): MASSIVE’s experts have been hard at work to help the claimants for one of our mass tort customers. The claimants are part of the Just for Men class action and have totaled $34,124 in Medicare liens.   Our expert Mass Tort Lien Negotiation Specialist, Lauren Feder, worked tirelessly to reduce the Medicare liens down to $1,883. When the law firm received this update, they were so pleased and responded, “MASSIVE has done a great job in reducing the amounts.” and commended our team for the negotiation work performed. They were also pleased to learn that the Medicare liens are not… - [MASSIVE Partners, Ryan Weiner, Esq. and Marcy Spitz, Esq., Presenting at MAJ](https://gomassive.com/massive-partners-ryan-weiner-esq-and-marcy-spitz-esq-presenting-at-maj/): The Michigan Association for Justice (MAJ) is hosting their first Annual 2023 Summer Convention, June 7-9 in Grand Rapids, Michigan. Ryan Weiner, Esq. and Marcy Spitz, Esq., Partners at MASSIVE, are excited to present at this event and help Michigan attorneys with their lien resolution questions.   Agenda Highlights Include:  Ryan Weiner, Esq. will be speaking on a panel discussing The Mechanics of Notifying Medicare, Medicaid, Medicaid HMOs, Medicare Advantage Plans, and Obtaining Lien Amounts, Details, and Conditional Payments at 10:30 a.m. EDT on June 8   Marcy Spitz, Esq. will be speaking on the Settlement, Negotiating Releases, and Resolving Medicare… - [Reducing Challenges in Mass Tort Cases](https://gomassive.com/reducing-challenges-in-mass-tort-cases/): Mass tort lien resolution can be an extensive process; however, you or the lien resolution administrator can take some significant steps to reduce the challenge. To start, you want to be prepared and get started early.   Before the claims administrator approves allocations for each plaintiff, the lien resolution administrator can establish global resolution programs with lien holders like Rawlings, Optum/Equian, Medicare, and even some states’ Medicaid systems. Without proper planning, HIPAA authorizations can be a problem once the lien resolution process starts. An incentive to avoid individual authorizations for each plaintiff in a mass tort is the single order… - [Your Mass Tort Case Settled. What’s Next?](https://gomassive.com/your-mass-tort-case-settled-whats-next/): Mass Tort cases are complex. In fact, the post-settlement process for certain Mass Torts can take two or three years even without an appeal. What must happen in that time period?   First, more individuals might join the pool of claimants. Then, each claimant (or, more likely, their attorney) must prove up the claim and show the claimant qualifies for this settlement. The process continues for many, many months until an injury calculation and dollar allocation can be made for each person. Then comes what we normally think of as “post-settlement”.    Settlement dollars usually must be transferred into the… - [Spending Too Much Time on Liens?](https://gomassive.com/spending-too-much-time-on-liens/): Lien rights for Medicare, Medicaid, and other forms of health insurance have been vastly expanded. These expanded rights mean healthcare liens have become an increasingly large portion of a personal injury law firm’s unbilled hours. Unfortunately, while law firms spend more time on these liens, these processes do not increase their revenue. Too much time is involved in understanding which lien holders are asserting rights, let alone how to resolve these liens to provide clients with the largest settlement possible. As the overall claims resolution process changes, it is important for law firms to understand how that process is taking… - [MASSIVE Reduces Nursing Home Medicaid Lien by over $65,000](https://gomassive.com/massive-reduces-nursing-home-medicaid-lien-by-over-65000/): Nursing home negligence liens are difficult to resolve. Recently, one of our firms represented a Missouri man who suffered from pressure sores and sepsis due to nursing home negligence. His treatments totaled $66,492 in Missouri Medicaid liens.   Our experts know that Medicaid lienholders are entitled to recover claims as long as one diagnosis code is related to the case. It is difficult to prove without supporting evidence to validate the dispute. In this case, the plaintiff was already in treatment for sepsis for non-related issues but later got sepsis from the pressure sores. Christina Sanalitro, Senior Lien Negotiator at… - [Diversity in Mass Tort Leadership](https://gomassive.com/diversity-in-mass-tort-leadership/): By MASSIVE Partner, Marcy Spitz, Esq.   The Women’s Summit at Trial Lawyers of Mass Torts (TLMT) will cover many topics including diversity, equity and inclusion issues that are being brought to the Mass Tort community by the Judiciary. I had the pleasure of participating in a webinar last year with the Honorable J. Michelle Childs, U.S. Circuit Judge of U.S. Court of Appeals for the District of Columbia Circuit. During the panel discussion, she and the others discussed the importance of diversity in leadership that can be mandated by the Judge assigned to the matter.   As is evident… - [Marcy Spitz, Esq., Partner at MASSIVE, Featured on ICLE Video: Handle Medicare and Medicaid Liens](https://gomassive.com/marcy-spitz-esq-partner-at-massive-featured-on-icle-video-handle-medicare-and-medicaid-liens/): With the option for limited personal protection insurance (PIP) benefits now available to Michigan residents, resolving Medicaid and Medicare liens is more important than ever. View the “Handle Medicare and Medicaid Liens” seminar, hosted by the Institute of Continuing Legal Education (ICLE) to hear what MASSIVE’s Partner, Marcy Spitz, Esq. and Jeffrey Bussell of Michigan Auto Law have to say about Medicare and Medicaid lien resolution.   Key content includes:  Understand how to best approach and organize a case with a Medicaid or Medicare lien  Hear practical tips on how to efficiently dispute unrelated charges  Know what terms and language… - [Mass Tort Liens WAIVED with Maine Medicaid](https://gomassive.com/mass-tort-liens-waived-with-maine-medicaid/): In 2020, Mallinckrodt Pharmaceuticals agreed to settle for $1.6 billion for their role in the opioid epidemic. The Personal Injury Trustee and Claims Administrator selected MASSIVE: Medical and Subrogation Specialists to be the exclusive Lien Resolution Administrator for the Mallinckrodt Opioid Bankruptcy Trust. MASSIVE is resolving health insurance liens for tens of thousands of injured plaintiffs.   A big victory was secured for Maine Medicaid claimants in the Mallinckrodt litigation. MASSIVE’s Mass Tort team met with Maine Medicaid to discuss the scope of the project and proposed terms. MASSIVE convinced Maine Medicaid the workload would not match its recovery. Maine… - [MASSIVE Partner, Ryan Weiner, Esq. to Speak at CALF 2023 Conference](https://gomassive.com/massive-partner-ryan-weiner-esq-to-speak-at-calf-2023-conference/): The Class Action Law Forum (CALF) Conference is hosted by University of San Diego and Western Alliance Bank and is an important event for the legal industry. Class action practitioners will hear valuable insights from a distinguished lineup of speakers, including sitting federal judges, and top attorneys.   MASSIVE Partner, Ryan Weiner, Esq. is excited to be a panelist for the Exit Strategies session on March 14 at 3:45 p.m. PST.   Key content to be discussed includes:  Global versus inventory settlements  Aggregate settlements and the associated ethical rules (fee disgorgement risk)  Dealing with Special Masters and allocation issues   We… - [When is a Lien Valid?](https://gomassive.com/when-is-a-lien-valid/): Have you ever been nearing the end of a case and been suddenly blindsided by a lien? It can happen, but why? Are all liens valid? Before diving into this topic, read our Lien Resolution 101 blog if you need a refresher on some of the terms we use.   When is a Lien Valid? Liens are usually governed by a state lien act. If your state doesn’t have a lien act, you must look to state law for equitable doctrines that might allow a lien. It is difficult to write a concise blog post on true liens because the… - [Lien Resolution 101](https://gomassive.com/lien-resolution-101/): A good percentage of people in the legal industry are unfamiliar with the term “Lien” or “Lien Resolution”. Throwing in “Rights of Reimbursement” and “Subrogation Rights” can further muddy the waters. Let’s break down these terms and clarify the process.   Lien: A lien is money owed to a third party for a debt. After a case is settled, it prevents distribution to the plaintiff until the lien is paid, released, or waived. Liens can be placed by hospitals and providers, as well as a few Medicaid organizations. They are generally not placed by private health insurance companies, Medicare, or… - [Does Bankruptcy Affect Liens?](https://gomassive.com/does-bankruptcy-affect-liens/): While Johnson and Johnson’s Talcum Powder Bankruptcy has apparently failed (as of January 30, 2023), many other bankruptcy and personal injury/mass tort cases remain. What does that mean for liens and subrogation?   Not much.   First, remember that when we use the term “lien,” we are using an adopted, legally incomplete term. We’re generally focusing on subrogation and/or reimbursement rights for health insurers.   Then, we need to remember that these rights are based on different laws. Medicare liens are based on the Medicare Secondary Payer Act (42 USC 1395y). That act talks about primary and secondary payers. If… - [MASSIVE 60% Reduction of ERISA Lien](https://gomassive.com/massive-60-reduction-of-erisa-lien/): A Michigan plaintiff was badly injured on the job and suffered severe burns. His treatment led to a $94,798 ERISA lien, which would have left him just over $10,000 from his settlement.   Marcy Spitz, Esq., Partner at MASSIVE, explained to the lienholder the case combined the plaintiff’s injury claim and his family’s loss of consortium. She used this apportionment argument to reduce the lien by 60% and allowed the plaintiff and his family to take home over $57,000 more of his settlement dollars.   “It’s important to use what you have with the lien holder,” said Spitz, “they aren’t… - [Ryan Weiner, Esq., New MTVA President: Focus for New Year](https://gomassive.com/ryan-weiner-esq-new-mtva-president-focus-for-new-year/): MASSIVE: Medical and Subrogation Specialists is a founding member of the Mass Tort Vendor Association (MTVA). The MTVA’s purpose is to set vendor standards for “Best Practices” within the mass tort legal community based on ethical ideals and practices that will elevate the quality of client services, distinguish members to existing and potential clients, and earn the trust of trial lawyers.   We are excited to announce that on January 22, 2023, MASSIVE’s COO, Ryan Weiner, will be the MTVA President. What does this mean for the MTVA and MASSIVE?   First, Ryan can help guide the MTVA’s vision, bringing… - [Connect with Us at the AAJ 2023 Winter Convention](https://gomassive.com/connect-with-us-at-the-aaj-2023-winter-convention/): The 2023 AAJ Winter Convention is February 4-7 at the JW Marriott Phoenix Desert Ridge Resort & Spa and will be here before you know it!   MASSIVE is excited to co-sponsor the Tort Bankruptcy Litigation Group with Rebuttal. This group is right up our alley since we’ve been selected as the exclusive lien resolution administrator in the Mallinckrodt Opioid Bankruptcy Trust, Purdue Opioid Bankruptcy Trust, and the Just for Men mass tort litigations, along with our role as the Flint Water co-lien resolution administrator.   This is a great opportunity to connect with colleagues in the industry and we’re… - [Todd Franklin Presenting at Lake County Board of Commissioners’ Workers’ Comp Seminar](https://gomassive.com/todd-franklin-presenting-at-lake-county-board-of-commissioners-workers-comp-seminar/): MASSIVE’s CEO, Todd Franklin, will be presenting at the Lake County Board of Commissioners’ 7th Annual Workers’ Compensation Seminar in Crown Point, Indiana on Friday, December 9 at 11:30 a.m. CST.   Key content to be examined includes:  Laws and Regulations Behind MSAs  Version 3.6 Update   LMSA Requirements: A Technical Review  What Does CMS’ Proposed Rule Withdrawal Mean?  Plaintiff and Defense Cooperation in Medicare Liens  Documented CMS Treatment Denials and Case Study   Looking forward to seeing you all for this informative discussion! - [Michigan Plaintiff’s Private Lien Waived](https://gomassive.com/michigan-plaintiffs-private-lien-waived/): A Michigan woman sustained multiple injuries from a motor vehicle accident. Blue Cross Blue Shield alleged a $33,256 lien against the settlement. One of MASSIVE’s experts, John Buford, Single Event Lead Attorney, performed a detailed review of the plan language to determine BCBS’s legal right to any settlement. He found that based on coordination of benefits contained in the health plan contract, BCBS didn’t have any rights to the settlement.   “It is imperative to review the Plan language,” said Buford, “as it is one of the best and easiest ways to either negotiate or eliminate a potential lien.”  … - [Ryan Weiner, Esq., COO of MASSIVE, Announced as Upcoming MTVA President](https://gomassive.com/ryan-weiner-esq-coo-of-massive-announced-as-upcoming-mtva-president/): We are pleased to announce that Ryan Weiner, Esq., Chief Operating Officer at MASSIVE, has been elected as the 2023-2024 Mass Torts Vendor Association (MTVA) President.   Ryan will officially begin his two-year term at the National Trial Lawyers (NTL) Summit at Loews Miami Beach Hotel, January 23-26, 2023.   During his tenure, Ryan will focus on serving the Mass Torts legal community and continue to build value for members by providing a strong connection between the reputable vendors of this space and law firms.   “MTVA has proven that a connection between service providers and attorneys is not only… - [Medicare Lien Reduced by Over $100,000 for Florida Plaintiff](https://gomassive.com/medicare-lien-reduced-by-over-100000-for-florida-plaintiff/): The plaintiff in this case suffered multiple injuries including brain bleed and weight loss due to nursing home negligence. His treatments built up a total of $140,209 of Medicare liens.   Medicare added other claims that it paid while the plaintiff was in the nursing home for his brain bleed and other injuries. John Buford, MASSIVE’s Single Event Lead Attorney, disputed the unrelated claims. Medicare agreed and brought the final lien down to $33,513.   Put more money in your plaintiff’s pocket by putting MASSIVE on the case! Login to our Live Data Portal and upload your cases today or contact… - [Mallinckrodt Opioids Lien Resolution](https://gomassive.com/mallinckrodt-opioids-lien-resolution/): MASSIVE has been named as the exclusive Lien Resolution Administrator for Mallinckrodt’s PI Bankruptcy Trust. We previously detailed the lien resolution programs we have set up. Outside of those LRPs are dozens of other Medicaid programs, including: Alaska  California  Colorado  Connecticut  Delaware Hawaii  Illinois  Indiana  Kentucky  Louisiana  Maine  Massachusetts  Michigan  Minnesota  Missouri  Montana  Nebraska  New Hampshire  North Dakota  Oklahoma  Oregon  Pennsylvania  Rhode Island  South Carolina  South Dakota  Texas  Utah  Vermont  Virginia  Washington, D.C.    At MASSIVE, we have nearly completed process meetings with each of these organizations. Our goal is to create a streamlined, organized process with each of these… - [Getting MORE from QSF Admin and Lien Resolution](https://gomassive.com/getting-more-from-qsf-admin-and-lien-resolution/): This guest post was written by Milestone, a qualified settlement fund administration firm that offers in-house, comprehensive settlement planning to trial lawyers and plaintiffs. Below, the Milestone team explains the power attorneys have in selecting the right lien resolution administrator and qualified settlement fund administrator.    Large litigation is complex from day one, and it doesn’t get any simpler during settlement. With the many plaintiffs and attorneys involved, each with different needs and payouts, settlement disbursement can be a real headache for law firms.  Some attorneys rely on the qualified settlement fund administrator appointed in the master settlement agreement. Or,… - [Medicare Liens in Workers’ Compensation](https://gomassive.com/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 it the “CRC – Work Comp” file. How does it get opened and who is paying it? The CRC will open this CRC – Work Comp file where the carrier’s Section 111 reporting tells Medicare that it has “Ongoing Responsibility for Medicals” (“ORM”). Essentially, a… - [Medicare Compliance for Plaintiff Attorneys](https://gomassive.com/medicare-compliance-for-plaintiff-attorneys/): The federal government enacted the Medicare Secondary Payer Act in 1980. Since then, it has gone from a toothless idea to recoup money, to a convoluted beast affecting past and future medical payments in all settlements. What areas of the law are most concerning?   Medicare Conditional Payments. Essentially, a “Conditional Payment Letter” from Medicare is equivalent to what you think of as a Medicare Lien. Did you know that Medicare can claim its lien from multiple parties? Both plaintiff and defense should have their own, separate Medicare Case IDs from which Medicare will try to collect. Medicare’s collection timing… - [Modernize Your Post-Settlement Process Webinar](https://gomassive.com/modernize-your-post-settlement-process-webinar/): Join Marcy Spitz from MASSIVE and Laura Fetto from Milestone along with industry experts Sindhu Daniel, Grant & Eisenhofer, Sam Katen, Aylstock, Witkin, Kreis & Overholtz, PLLC, Trevor Rockstad, Davis & Crump, and Leslie LaMacchia, as we discuss the importance of separating administrative duties at settlement on September 20 at 2:00 p.m. (EDT).   Key content includes:  How law firms can eliminate a conflict of interest  How both sides can work in conjunction while efficiently moving the process along  How to ensure responsibilities are handled by the appropriate expert  Helpful tips and Best Practices for the post-settlement process   Join… - [MASSIVE Success in 50% Reduction of Hospital Lien](https://gomassive.com/massive-success-in-50-reduction-of-hospital-lien/): MASSIVE’s experts reduced a $132,785.65 hospital lien down to $70,000!   The plaintiff in this case was shot multiple times, leading to significant injuries and surgery. Because he did not have insurance at the time of the shooting, the Parkland Hospital System provided care to him for his injuries totaling over $132,000. It filed a hospital lien pursuant to Texas law.   MASSIVE worked tirelessly to reduce this hospital lien to enable the plaintiff to retain an additional $62,000 of his settlement. The process for lien resolution with Parkland requires detailed presentations to a board of hospital officials. Ultimately, the… - [MASSIVE’s Ryan Weiner to speak at Kansas Annual Workers’ Compensation Seminar on September 28, 2022](https://gomassive.com/massives-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 if the carrier has accepted ORM  Reviewing if the carrier is reimbursing Medicare for conditional payments related to the claim  Assessing whether plaintiff attorney should/can communicate with CRC throughout claim Understanding the post-settlement duties of both sides   Visit the Kansas Department of Labor website… - [Ryan Weiner, COO of MASSIVE, Presenting at 2022 WILG Annual Convention](https://gomassive.com/ryan-weiner-coo-of-massive-presenting-at-2022-wilg-annual-convention/): Ryan Weiner, Esq., MASSIVE’s COO and experienced lien resolution attorney, joins other industry experts to present at the 2022 Annual Convention. Ryan and the panel will be discussing Medical Liens, Medicare Set-Asides (MSAs), and Administration, along with a Q&A session at 2:15 p.m. (MST) on Friday, September 30.   Be sure to register for the WILG Annual Convention so you don’t miss out!   - [Medicare Secondary Payer Conditional Payment Forum Q&A](https://gomassive.com/medicare-secondary-payer-conditional-payment-forum-qa/): 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 in the same way as Original Medicare does?” Answer: Yes. Medicare Advantage Organizations must follow the Medicare Secondary Payer Act (42 USC 1395y). That means they have an undeniable right to reimbursement and you must seek them out. On the positive side, they must also… - [Why Private Insurance isn’t a Replacement for MSAs](https://gomassive.com/why-private-insurance-isnt-a-replacement-for-msas/): Medicare Set-Asides (MSAs) are not required by law. Rather, MSAs are designed to prevent Medicare from paying for case-related care after a settlement. But wait, doesn’t other insurance prevent Medicare from paying for that future medical care too?   It does. If it will pay.   Many health insurance plans will not cover case-related care even if purchased after the injury date. Certain plans – Medicare Advantage Plans to be specific – can find out about that injury and lawsuit through Section 111 Reporting information. Certain MSA information is now shared by CMS to those Medicare Advantage Plans. This combination… - [Connecticut Medicaid Lien Withdrawn Due to MASSIVE’s Persistence](https://gomassive.com/connecticut-medicaid-lien-withdrawn-due-to-massives-persistence/): MASSIVE’s determination helped a plaintiff with their Connecticut Medicaid lien. After reviewing the product liability mass tort case, our experts disputed the $47,429.95 lien and were ultimately successful in extinguishing the lien completely.   The firm was pleased with the results and the plaintiff was happy to be able to take home his full net settlement.   Put more money in your plaintiff’s pocket by putting MASSIVE on the case! Login to our Live Data Portal and upload your cases today or contact us at 833-466-2774 or sales@goMASSIVE.com.   - [Medicare Set-Asides: How Do You Know Your MSA is Enough?](https://gomassive.com/medicare-set-asides-how-do-you-know-your-msa-is-enough/): Medicare Set-Asides (“MSAs”) are not a legally required tool. But they have significant value in protecting funds that will pay for an injured-person’s post-settlement, future medical care. These funds are necessary because 42 USC 1395y makes it illegal for Medicare to cover that medical care. But how can you be certain your MSA is enough?   First, Medicare has created review thresholds where it will tell you if the MSA is enough. Those thresholds are meant to limit workloads, and a settlement outside of those thresholds does not limit your need or ability to prepare an MSA. Medicare’s review thresholds… - [Don’t Miss Ryan Weiner, Esq. Tomorrow July 14 at the 2022 WILG Northwest Regional Conference!](https://gomassive.com/dont-miss-ryan-weiner-esq-tomorrow-july-14-at-the-2022-wilg-northwest-regional-conference/): The 2022 WILG Northwest Regional Conference features MASSIVE’s COO, Ryan Weiner, Esq. as one of the speakers. Ryan is presenting “What the Law Says About MSAs” on July 14 at 2:45 p.m. (PT) and will discuss the complexities of NSMSAs and EBMSAs and offer tips on how to best navigate Medicare Set-Asides.   Key content includes: Background and History of Medicare Set-Asides (MSAs)  Overview of Law 42 USC 1395y(b)(2)(A)  MSAs, NSMSA, and EBMSAs and the Consequences of Bypassing Them  WCMSA User Guide Review  Best Practices    Don’t miss out, register today!   If you can’t wait for the event, check… - [What the Law Says About MSAs](https://gomassive.com/what-the-law-says-about-msas/): Medicare Set-Asides are never discussed in any United States’ statute.   Even the term “protect Medicare’s interest” isn’t in the Medicare Secondary Payer Act. That term comes from a 2005 “Q&A Memorandum” from CMS. So, what does the law say?   42 USC 1395y(b)(2)(A) states that Medicare may not make payment for case-related care if another payer exists. Or Medicare is secondary. That’s it. The statute makes it illegal for Medicare to pay; but creates no provision for if Medicare does pay. For this reason, Medicare suggests an MSA.   The only verified penalty for no MSA is that Medicare… - [Don’t Miss the 6th Annual Medicare Secondary Payer Conditional Payment Forum with Ryan Weiner, Esq.!](https://gomassive.com/dont-miss-the-6th-annual-medicare-secondary-payer-conditional-payment-forum-with-ryan-weiner-esq/): Last chance to register for the 6th Annual Medicare Secondary Payer Conditional Payment Forum featuring MASSIVE’s COO, Ryan Weiner, Esq.!   Ryan will be discussing conditional payments resolution in no-fault claims on July 12 at 11:55 AM EST and will be welcoming questions for all attendees. With Ryan’s background and years of experience, it is guaranteed to be an educational event for all!   Register today and use code SPKR15 for 15% off!   - [Mallinckrodt Opioid Bankruptcy PI Claimant Trust - What's Next?](https://gomassive.com/mallinckrodt-opioid-bankruptcy-pi-claimant-trust-whats-next/): MASSIVE is proud to be the exclusive lien resolution administrator for the Mallinckrodt Opioid Bankruptcy PI Claimant Trust. Our job will be to resolve hundreds of thousands of liens to protect claimant recoveries and future benefits.   What does that mean? MASSIVE’s process will automatically obtain and resolve liens in the following manner:   Rawlings Lien Resolution Program (All Claimants) Optum/UnitedHealthcare Lien Resolution Program (All Claimants) Benefit Recovery Lien Resolution Program (All Claimants) MSP Recoveries Lien Resolution Program (All Claimants) HMS Medicaid Global Resolution Program1 (All Claimants/20 states) Medicaid in the State of Residence via Law Firm or Claims Administrator information… - [Plaintiff and Defense Cooperation in Medicare Liens](https://gomassive.com/plaintiff-and-defense-cooperation-in-medicare-liens/): Most settlement agreements miss a vital series of terms that all defendants must report to the government. Those terms are used in Medicare’s Section 111 reporting. They include what date of incident is being reported to Medicare, a clear statement of the settlement amount being reported to Medicare, and injury codes being reported.   Sure, date of injury and settlement amount are noted in the agreement, but those terms are often reported by outside vendors in the Medicare context. Failure to explicitly state them in the settlement agreement can lead to duplicate files at Medicare. Those duplicates are at best… - [Mallinckrodt Opioid Bankruptcy Trust: What Claimants Can Expect](https://gomassive.com/mallinckrodt-opioid-bankruptcy-trust-what-claimants-can-expect/): MASSIVE has been selected as the exclusive lien resolution administrator for the Mallinckrodt Bankruptcy Trust’s PI Claimant Trust. If your law firm has claimants recovering from that trust, here’s what you can expect from MASSIVE:   Medicare, TriCare, VA, and Indian Health Services’ claims have been settled via an agreement with the Department of Justice. No lien resolution is needed for any of those organizations.   Medicaid liens will be reviewed and resolved for all claimants. This process includes automatic inclusion in HMS’s Medicaid program handling liens in Alabama, Arkansas, Arizona, Florida, Georgia, Iowa, Idaho, Kansas, Maryland, Mississippi, North Carolina,… - [2022 AAJ Annual Convention](https://gomassive.com/2022-aaj-annual-convention/): The 2022 AAJ Annual Convention is July 16-19 at the Washington State Convention Center and Sheraton Seattle.   As the exclusive lien resolution administrator for the Mallinckrodt Opioid Bankruptcy Trust Mass Tort Litigation, we are looking forward to co-sponsoring the Opioids Litigation Group with Medchart. This is a great opportunity to connect with other industry leaders and discuss the latest developments in this area.   If you haven’t already registered or need more information about the event, visit the AAJ Annual Convention website.   Contact us if you’d like to schedule a meeting during the event!   - [MASSIVE: The Exclusive Lien Resolution Administrator for Mallinckrodt Opioid Bankruptcy Trust](https://gomassive.com/massive-the-exclusive-lien-resolution-administrator-for-mallinckrodt-opioid-bankruptcy-trust/): MASSIVE has been selected by the Personal Injury Trustee and Claims Administrator to be the exclusive Lien Resolution Administrator for the Mallinckrodt Opioid Bankruptcy Trust mass tort litigation.   MASSIVE is expecting to resolve liens for tens of thousands injured plaintiffs.   We are looking forward to helping plaintiffs maintain as much of their settlement as possible. If you are an individual claimant/plaintiff with a question, please contact your own lawyer. We are unable to legally communicate with individuals at this time.   MASSIVE is eager to do our part and help the trial lawyers attempt to right this wrong.… - [What Does the Gallardo v. Marstiller Decision Mean for Medicaid Recovery?](https://gomassive.com/what-does-the-gallardo-v-marstiller-decision-mean-for-medicaid-recovery/): The Supreme Court released its opinion in Gallardo v. Marstiller on June 6, 2022. Many commentators suggest the Supreme Court decision in Gallardo will change the way Medicaid recovery works forever. We have seen comments that Ahlborn allocations are now impossible. We have seen comments that this case means Medicaid Set-Asides exist now. And, we have seen comments that Medicare Set-Asides are greatly damaged by this holding.   MASSIVE disagrees with many of these comments.   First, Ahlborn allocations can still work. Justice Thomas’s main point is that Medicaid can recover for its lien from the portion of the case… - [Play by the Rules with Medicare Liens](https://gomassive.com/play-by-the-rules-with-medicare-liens/): The US Department of Justice is suing law firms who do not pay their clients’ Medicare liens.   Medicare is diligently monitoring firms to make sure their liens are reimbursed fully and timely. There are many examples of Medicare notifying the US Department of Justice when their liens have been ignored. The results are the DOJ announcing settlements with these firms. The settlement amounts have ranged from $6,600 to $250,000   The consequences go beyond monetary settlements. The DOJ has also instituted multiple compliance programs to ensure each law firm sets up procedures and timely repayments. These include selecting and… - [Medicare’s Anti-NSMSA and EBMSA Stance](https://gomassive.com/medicares-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 financial burden by improperly giving reasonable recognition to both medical expenses and income replacement.” At MASSIVE, we don’t look at this as a change.   Consider Section 3.0 of the Reference Guide. It discusses the scenario where no MSA exists at all. Stating separately:  “Medicare… - [2022 WILG Northwest Regional Conference](https://gomassive.com/2022-wilg-northwest-regional-conference/): As a WILG Gold Level Affinity Partner, MASSIVE looks forward to connecting with our fellow members and participating in the WILG Northwest Regional Conference in Seattle, July 14-16, 2022.   MASSIVE’s COO, Ryan Weiner, Esq. will be presenting the complicated topic “What the Law Says About MSAs” on July 14 from 2:45 – 3:30 p.m. PT.   Come visit our booth at the event. We help firms achieve higher settlements and increase case value with our Future Medical Allocations (including MSAs). MASSIVE is also here to help with your firm’s Lien Resolution needs. Our process effectively negotiates with healthcare insurers… - [MASSIVE’s Ryan Weiner, Esq. to present at the 6th Annual MSP Conditional Payment Forum July 11-13, 2022](https://gomassive.com/massives-ryan-weiner-esq-to-present-at-the-6th-annual-msp-conditional-payment-forum-july-11-13-2022/): Ryan Weiner, COO of MASSIVE and long-time authority on liability, no-fault, and workers’ compensation conditional payments, is presenting at the virtual 6th Annual Medicare Secondary Payer Conditional Payment Forum on July 12 at 11:55AM EST. Ryan will be discussing conditional payments resolution in no-fault claims.   Key content to be discussed includes:  Identify if the no-fault insurance carrier has accepted ongoing responsibility for medical expenses (ORM)  Analyze the process for plaintiff and lawyer if the carrier has accepted ORM within the confines of policy limits  Ensure the carrier is reimbursing Medicare for conditional payments related to the claim Assess whether… - [Private Liens Significantly Reduced for Michigan Plaintiff](https://gomassive.com/private-liens-significantly-reduced-for-michigan-plaintiff/): MASSIVE reduced two large private insurance liens totaling $519,785 down to $15,000 for a Michigan plaintiff. This was a medical malpractice case that resulted in a 44-year-old man having all his limbs amputated due to the negligence of his treating doctors.   MASSIVE worked aggressively to get the claims reduced significantly due to the injuries sustained by the plaintiff. In the end, the lienholders agreed to finalize their liens for a small percentage recovery.   “MASSIVE was presented with an impossible challenge on a medical malpractice case with over $500,000 in outstanding medical liens and a plaintiff that had to… - [MASSIVE Announces Scholarship Partnership with WILG for 2022](https://gomassive.com/massive-announces-scholarship-partnership-with-wilg-for-2022/): SOUTHFIELD, MI, May 10, 2022    MASSIVE: Medical and Subrogation Specialists are sponsoring scholarships for two attorneys to join the Workers’ Injury Law & Advocacy Group (WILG) association and attend the WILG Annual Convention in September.     Each scholarship includes one regular membership and registration to attend the convention (including travel expenses).    “MASSIVE is pleased to support WILG’s mission of helping attorneys advocate for the rights of injured workers,” says Rita Siedlaczek, MASSIVE Sales and Marketing Director. “This is a great opportunity, and we are thrilled to help these attorneys advance in their careers.”     The WILG Scholarship Committee… - [MASSIVE’s Dedication Results in Reduction of ERISA Lien](https://gomassive.com/massives-dedication-results-in-reduction-of-erisa-lien/): A 55-year-old California plaintiff was involved in a motor vehicle accident, which resulted in back injuries. The self-funded ERISA plan refused to reduce the lien due to the strong plan language and the fact that there was plenty of money in the settlement to pay the lien.   MASSIVE’s experts aggressively negotiated with the lienholder and ultimately were able to reduce the lien by over 25%. The firm was pleased with the result and the client was happy for the additional $6,000 of his funds back.   “The lienholder initially refused to budge” said Marcy Spitz, Co-Founder and Partner at… - [MASSIVE Partners with WILG for Scholarship Program](https://gomassive.com/massive-partners-with-wilg-for-scholarship-program/): MASSIVE is sponsoring scholarships for two attorneys to join the Workers’ Injury Law & Advocacy Group (WILG) association and attend the WILG Annual Convention in September. Each scholarship includes one regular membership and registration to attend the convention (including travel expenses).   The WILG Scholarship Committee will select the winners and they will be announced by June 1.   Contact Jimmy Vollkommer, WILG Director of Membership & Marketing for more information.      - [CMS Guidance on WCMSA’s Section 4.3](https://gomassive.com/cms-guidance-on-wcmsas-section-4-3/): We like to remind the legal industry that Medicare Set-Asides (“MSAs”) don’t exist under the law. They’re a very good idea considering the consequences to a claimant or plaintiff of not having an MSA.   Remember that CMS’s recent update to the WCMSA User Guide has a new section 4.3 with CMS warning us of the consequences of skipping MSAs (or of using unapproved MSA products like Non-Submit and “Evidence-Based” MSAs).  If a Medicare beneficiary settles his or her case without an MSA,  Medicare will deny treatment that it assumes is case-related. Even if that treatment is not related to the… - [ACAM 2022 Annual Meeting](https://gomassive.com/acam-2022-annual-meeting/): MASSIVE is pleased to sponsor and contribute to the Academy of Court-Appointed Masters (ACAM) 2022 Annual Meeting. ACAM is a national organization dedicated to advancing the special master profession and supporting the administration of justice. This year’s meeting is being held in Atlanta, Georgia from May 4-6.   MASSIVE is the expert when it comes to managing lien resolution for the largest of cases. Our recent experience includes resolving liens as the Flint Water co-lien resolution administrator and exclusive lien resolution administrator in the Just for Men, Purdue Opioid Bankruptcy Trust, and Mallinckrodt Opioid Bankruptcy Trust mass tort litigations.  … - [Ryan Weiner, Esq., COO of MASSIVE, to Present at WILG Webinar on CMS Update, April 11, 2022](https://gomassive.com/ryan-weiner-esq-coo-of-massive-to-present-at-wilg-webinar-on-cms-update-april-11-2022/): Join WILG and MASSIVE for an online seminar to help answer your questions about the new MSA language on CMS’ update.    Ryan’s presentation will include:  Overview of WCMSA User Guide 3.6, Section 4.3 updated language  Who is at risk under this new language?  How to mitigate risk with defense-generated MSAs  Q&A Session    This live webinar will be held Monday, April 11, 2022, at 2:00 p.m. EST and is for WILG members only. Don’t miss it, register today!   - [What Happens After a Mass Tort Case Settles?](https://gomassive.com/what-happens-after-a-mass-tort-case-settles/): Mass Tort cases are complex. In fact, the post-settlement process for certain Mass Torts can take two or three years even without an appeal. What must happen in that time period?   First, more individuals might join the pool of claimants. Then, each claimant (or, more likely, their attorney) must prove up the claim and show the claimant qualifies for this settlement. The process continues for many, many months until an injury calculation and dollar allocation can be made for each person. Then comes what we normally think of as “post-settlement.”    Settlement dollars usually must be transferred into the… - [Don’t Miss Ryan Weiner, Esq. Tomorrow at the 2022 WILG Longshore Conference!](https://gomassive.com/dont-miss-ryan-weiner-esq-tomorrow-at-the-2022-wilg-longshore-conference/): The 2022 WILG Longshore Conference is featuring MASSIVE’s COO, Ryan Weiner, Esq. as one of the speakers. Ryan is presenting “How Defense Uses Non-Submit MSAs” on Saturday, March 26 and will discuss the complexities of NSMSAs and EBMSAs and offer tips on how to best navigate the new CMS guidelines.   Key content includes: Are Non-Submit MSAs shifting the burden? Will CMS begin denying Medicare coverage up to the total net settlement? When does it become an issue? NSMSAs and EBMSAs – Possible case-related treatment omissions CMS Review thresholds The safest option moving forward   Don’t miss out, register today!… - [MASSIVE Completely Resolves Medicare Lien for Connecticut Plaintiff](https://gomassive.com/massive-completely-resolves-medicare-lien-for-connecticut-plaintiff/): A Connecticut man received a delayed diagnosis of parotid cancer. This is an aggressive form of cancer and can be terminal. However, if caught early, life expectancy can be prolonged with early intervention.   MASSIVE’s experts established that the treatment on his lien was medically necessary for the plaintiff’s cancer care and would have occurred regardless of the delay in care. The $298,068.78 Medicare lien was completely resolved to $0.00!   “Delay in diagnosis cases are complicated and can be difficult to establish precedent when proving the necessity of the treatment.” said Christina Sanalitro, Senior Lien Negotiator at MASSIVE. “Our… - [MASSIVE’s Legal Nurse, Richard Bays, Presenting at AALNC Annual Forum on April 30, 2022](https://gomassive.com/massives-legal-nurse-richard-bays-presenting-at-aalnc-annual-forum-on-april-30-2022/): Richard Bays, JD, MBA, RN, LNCC, MASSIVE’s Legal Nurse will be speaking at the American Association of Legal Nurse Consultants (AALNC) Annual Forum on Saturday, April 30.     Richard will be discussing the “Top 5 Mistakes of an Expert Witness” and “Fatal Errors in Expert Reports”. Legal Nurse Consultants, don’t miss out on this opportunity to increase your knowledge and skills on these important clinical topics!    - [Special Challenges in Managing Large Mass Tort Cases](https://gomassive.com/special-challenges-in-managing-large-mass-tort-cases/): Mass tort lien resolution can be an extensive process; however, you or the lien resolution administrator can take some significant steps to reduce the challenge. To start, you want to be prepared and get started early.   Before the claims administrator approves allocations for each plaintiff, the lien resolution administrator can establish global resolution programs with lien holders like Rawlings, Optum/Equian, Medicare, and even some states’ Medicaid systems. Without proper planning, HIPAA authorizations can be a problem once the lien resolution process starts. An incentive to avoid individual authorizations for each plaintiff in a mass tort is the single order… - [MASSIVE Co-Founder and Partner, Marcy Spitz, Esq. to Speak at the University of San Diego’s Class Action Law Forum (CALF) 2022 Conference, March 17](https://gomassive.com/massive-co-founder-and-partner-marcy-spitz-esq-to-speak-at-the-university-of-san-diegos-class-action-law-forum-calf-2022-conference-march-17/): The 2022 Conference is hosted by University of San Diego and Western Alliance Bank and is an important event for the legal industry. Class action practitioners will hear valuable insights from a distinguished lineup of speakers, including sitting federal judges, and top attorneys.    MASSIVE Partner and Co-Founder, Marcy Spitz, Esq. is excited to contribute to this event and be a panelist for “Special Challenges in Managing Large Mass Tort Cases” on March 17 from 9:20 – 10:20 a.m. PST.   For more information, or to register, visit the CALF website.    ## Pages - [Home](https://gomassive.com/) - [Lien Resolution Manager (Mass Tort)](https://gomassive.com/careers/lien-resolution-manager-mass-tort/): Lien Resolution Manager (Mass Tort) Reports to: Mass Tort Lead Attorney Position Responsibilities A Lien Resolution Manager (LRM) acts as the project manager and main point of contact between MASSIVE and our customer-law firms. LRMs work in a team with a MASSIVE Attorney, Lien Negotiation Specialist, and one or more Lien Resolution Analysts (LRAs). They may also assist in obtaining claim/lien information from insurance company or subrogation firms. Duties and responsibilities include, but are not limited to: Customer Management & Contact Manage and organize large amounts of data across multiple projects for presentation to customers;  Serve customer needs such as… - [Subrogation Laws in All 50 States - Interactive Map](https://gomassive.com/subrogation-laws-in-all-50-states-interactive-map/) - [Test](https://gomassive.com/test/) - [On Demand Webinars](https://gomassive.com/resources/on-demand-webinars-2/): [optinlocker]     [/optinlocker] - [Subrogation Laws in All 50 States - Interactive Map](https://gomassive.com/subrogation-laws-in-all-50-states/) - [FAQs for New Portal](https://gomassive.com/faq-portal/): New Live Data Portal FAQs When is the new Portal going live? Expand We’re excited to announce the new Portal will go live in 2025. What are the key upgrades and benefits? Expand The real value of the Portal lies in its modern design, which enhances communication and collaboration between MASSIVE and our customers. Users will find the new Portal is easier to monitor case progress and transparency at every stage of their case. How secure is the new portal? Expand The new Portal will feature a multifactor authentication process for all users. After your account is created, you will… - [Diversity, Equity, and Inclusion](https://gomassive.com/dei/): Welcome to Our Commitment to Diversity, Equity, and Inclusion  At MASSIVE, we believe that diversity, equity, and inclusion are fundamental to achieving our mission and fostering an environment where everyone feels valued and empowered.   Our Commitment Diversity: We celebrate the diversity of our workforce, customers, and communities. We recognize that diverse perspectives drive innovation and enhance decision-making.  Equity: We are committed to creating a fair and equitable workplace where every individual can thrive and succeed based on their skills, experiences, and contributions.  Inclusion: We cultivate an inclusive culture where all voices are heard, respected, and valued. We actively promote… - [Community](https://gomassive.com/community/): MASSIVE goes beyond resolving liens. We are active and committed to raising awareness and supporting organizations that provide support to assault victims. Because of this, our team is donating 3% of receipts from sexual assault cases submitted to us by our customers to CHILD USA, a nonprofit organization that fights for the rights of children to be free from child sex abuse through legal reform of the statutes of limitation and federal bankruptcy law, ending child marriage, and holding institutions accountable.   MASSIVE has resolved liens for over 5,000 sexual assault litigations. We are proud to support the cause and help your… - [Privacy Policy](https://gomassive.com/privacy-policy-2/): This Privacy Policy outlines the practices of MASSIVE regarding the collection, use, and protection of personal information obtained through our website, interactions with clients, and other business operations. We are committed to maintaining the privacy and security of all personal data entrusted to us.   Information Collection: We may collect personal information from clients, individuals, and third parties involved in health insurance subrogation-type claims and personal injury lawsuits, including but not limited to: Names Contact information (addresses, phone numbers, email addresses) Personal identifying information Insurance policy details Accident/incident details Financial information related to claims   Use of Information: Personal information… - [Our Team](https://gomassive.com/our-team/): MASSIVE was Founded On the Principles of Value and Respect We believe that the true measure of our success is in the delivery of services to attorneys and their clients, and, to aid attorneys in a way that respects their needs in a valuable way.Our Lien Resolution and Cost Projection professionals specialize in Medicare, Medicaid, Private Insurance, ERISA and Military providers. Our Principals have experience in the private sector counseling clients in the interpretation of statutory rules and regulations, similar to those relied on by the Centers for Medicare and Medicaid. We are active within the lien community, often participating… - [FAQs for Mallinckrodt Claimants](https://gomassive.com/faq-mallinckrodt/): Mallinckrodt Opioid Personal Injury Trust Lien Resolution FAQs Who is MASSIVE and what is our role in the Mallinckrodt Opioid Personal Injury Trust? Expand MASSIVE has been named as the Lien Resolution Administrator for the Mallinckrodt Opioid Personal Injury Trust (the “Trust”) and each claimant’s award. MASSIVE has been hired to obtain any lien or reimbursement claims from each claimant’s health insurer (including Medicare, Medicaid, and private health insurance companies such as United Healthcare, Blue Cross, and many more).  We will evaluate those claims to ensure they are accurate and then work to reduce them as much as possible to… - [Claimant/Plaintiff Contact](https://gomassive.com/claimantcontact/):     Please Note: Legally, MASSIVE is not allowed to communicate directly with plaintiffs/claimants on their cases. However, if you include your law firm’s contact information, we will speak to them to make sure you receive a response. Thank you. Follow MASSIVE on Social Media   - [Lien Resolution Manager (Single Event)](https://gomassive.com/careers/lien-resolution-manager/): Lien Resolution Manager (Single Event) Reports to:  Attorney or Senior Lien Negotiator Position Responsibilities A Lien Resolution Manager (LRM) acts as the main point of contact between MASSIVE: Medical and Subrogation Specialists (MASSIVE) and our customer-law firms. LRMs work in a team with a MASSIVE Attorney and one or more Lien Resolution Administrators (LRAs). LRMs may also assist in obtaining claim/lien information from insurance company or subrogation firms. Duties and responsibilities include, but are not limited to: Customer Management & Contact Serve customer-law firm needs such as providing case/claim updates as needed/requested;  Utilize automatic updates available through MASSIVE’s proprietary software,… - [Medicare Has Multiple Files. Which are Correct? Which are Duplicate Files?](https://gomassive.com/medicare-has-multiple-files-which-are-correct-which-are-duplicate-files/): Medicare can and will open multiple files for a plaintiff’s motor vehicle accident case or workers’ compensation case. In those scenarios, that process is usually correct. In turn, Medicare might open multiple files for a plaintiff’s medical malpractice or other liability case. In this scenario, we think Medicare’s file is probably a duplicate.   Before we explore duplicate files, we need to understand that Medicare can and should have multiple files in certain circumstances that are not duplicates.   Medicare’s process has its roots in Section 111 Reporting, also known as Mandatory Insurer Reporting. That law requires all defendants notify Medicare of… - [Fee Protection Guarantee and Fee Protector](https://gomassive.com/fee-protection-guarantee/): MASSIVE is the nation’s leading independent provider of healthcare Lien Resolution and Future Medical Allocation Services, including Medicare Set-Asides. With our Fee Protection Guarantee® 1 backing every case, our customers can rest assured knowing MASSIVE has their back. We know mistakes happen. We also know mistakes can often be costly. MASSIVE’s Fee Protection Guarantee eliminates any worry our customers have about not collecting their full attorney fee in the event of: Incorrect disbursement of settlement funds Communication of inaccurate dates Procedural errors by MASSIVE We guarantee that you will not need to reduce your attorney fee as a result of MASSIVE… - [Lien Negotiation Specialist](https://gomassive.com/careers/lien-negotiation-specialist/): Lien Negotiation Specialist (Mass Tort) Reports to: Mass Tort Lead Attorney Position Responsibilities A Lien Negotiation Specialist acts as the primary reviewer and negotiator of Mass Tort liens submitted to MASSIVE: Medical and Subrogation Specialists (MASSIVE).  The Lien Negotiation Specialist (LNS) will review liens submitted by insurance companies, subrogation firms, and other lien holders to identify unrelated items and to identify lien holder rights. The Lien Negotiation Specialist (LNS) will work in a team with a MASSIVE Attorney, Lien Resolution Managers (LRMs), and Lien Resolution Administrators (LRAs).  Duties and responsibilities include, but are not limited to: Lien Holder Contact Contact… - [Lien Resolution Administrator](https://gomassive.com/careers/lien-resolution-administrator/): Lien Resolution Administrator Position Responsibilities A Lien Resolution Administrator (LRA) acts as the main point of contact between MASSIVE and insurance companies, subrogation firms, and other lien holders. LRAs work in a team with a MASSIVE Attorney or Lien Negotiation Specialist, at least one Lien Resolution Manager (LRM), and possibly, other LRAs. An LRA is unlikely to have any customer contact on behalf of MASSIVE except when answering incoming calls.  Duties and responsibilities include, but are not limited to:  Lien Holder Contact Contact subrogation firms, lien holders, and health insurers to ensure MASSIVE receives requested information from those organizations;  Utilize… - [On Demand Webinars](https://gomassive.com/resources/on-demand-webinars/): Welcome! Scroll down and enter your email to unlock videos   MASSIVE’s videos cover several key topics including:   Who is MASSIVE? – MASSIVE is the nation’s leading independent provider of lien resolution services. Check out this video where we talk about what we do best. Discover the MASSIVE benefits to partnering with us!   Partner with the Experts – MASSIVE serves the legal industry with over 150 years of combined experience. We specialize in Lien Resolution and Future Medical Allocation services, including Medicare Set-Asides and Life Care Plans.   Your “Go To” Lien Resolution Specialists – At MASSIVE, we… - [How To Videos](https://gomassive.com/resources/how-to-videos/): Welcome!   The videos on this page will help you work effectively and efficiently with MASSIVE. Our videos will cover the following topics:   Submit a Case – Submitting your first case with MASSIVE is easy with our Live Data Portal. After you log in with your username and password, all you have to do is upload your completed Intake Forms or input the information manually to begin the process.   Intakes and Authorizations – Learn how to correctly complete the Client Intake Form and Authorizations that will need to be submitted to our Live Data Portal. We ask for… - [Upcoming Webinars](https://gomassive.com/upcoming-webinars/): Please join MASSIVE for our webinar “Ethics in Lien Resolution: The Practical Guide to your Decisions” on Tuesday, September 15th at 1pm EDT.  We will be discussing how to navigate legal and ethical requirements that law firms face today when handling lien resolution for their clients. Our free webinar will provide you with tools to avoid costly ethical mistakes and provide settlement language to protect you and your client. Topics Include: Ethical obligations of a law firm to lien holders Ignoring liens at settlement Options discussed when your client refuses to resolve their outstanding liens Enforcement of monetary penalties against… - [Flyers](https://gomassive.com/resources/flyers/): Mass Tort Lien Resolution Services MASSIVE Services Future Medical Allocations, including MSAs Receive Lien Resolution tips and tricks, the latest Medicare updates and our monthly newsletter. Connect With Us - [Intakes and Authorizations](https://gomassive.com/resources/intakesandauthorizations/): MASSIVE Client Intake Form MASSIVE HIPPA Authorization Proof of Representation MASSIVE CP-MSA Form Receive Lien Resolution tips and tricks, the latest Medicare updates and our monthly newsletter. Connect With Us - [Events](https://gomassive.com/events/): Upcoming Events AAJ 2025 Winter Convention February 15-18, 2025 The 2025 AAJ Winter Convention will be here before you know it! MASSIVE is proud to sponsor the AAJ Sexual Assault Litigation Group. This group assists members litigating assault cases in civil court and is aligned with our work on lien resolution for sexual abuse cases. But we go beyond resolving liens. We are active and committed to raising awareness and supporting organizations that provide support to assault victims. Because of this, our team is donating 3% of receipts from cases submitted to us by AAJ Sexual Assault Litigation Group Members… - [FAQ](https://gomassive.com/faq-old/): FAQ What criteria do you look for in cases you assist in resolving? We have designed our systems to help you avoid spending the time to pick and choose which cases to send us. We look for any case that has, or might have, a lien to resolve. We are able to provide verification of certain health insurance coverage, in addition to lien resolution. We will handle any case, from single lien cases to those that are upside down with major liens. Our proprietary workflows reduce time-consuming delays in all circumstances, while our fee structure allows you to send all… - [Careers](https://gomassive.com/careers/): About Us The MASSIVE Team is continuously growing and we are always on the look out to connect with top talent. At MASSIVE: Medical and Subrogation Specialist, our team is comprised of Attorneys, Nurses, Lien Resolution Specialists, Sales and Marketing professionals that work together to deliver the best Lien Resolution and Medical Cost Projections in the country.  We advocate for our partner law firms by resolving their clients healthcare liens effectively and efficiently.  This allows attorneys to maximize reductions and removing liabilities so they can focus on their litigation.   Current Openings Lien Resolution Administrator Lien Resolution Manager (Single Event)… - [Testimonials OLD](https://gomassive.com/testimonials-old/): Testimonials What Clients Say We’ve worked with some awesome clients who love us and our services. Check what they have to say about us! “Our law firm’s experience with MASSIVE has been nothing short of exceptional. The hire of MASSIVE has allowed us save time required of our attorneys and case managers, speed up the payout of settlements, and place more money in the pockets of our clients by removing unrelated charges and successfully arguing for reductions. This in turn has allowed us save money, work more efficiently, and get paid more quickly. We certainly appreciate what they do for… - [Testimonials](https://gomassive.com/testimonials/): Testimonials What Clients Say We work with some incredible clients who love our specialized services and our team of experts. Check out what they have to say about our Lien Resolution and Medical Cost Projection services: “MASSIVE has helped us on multiple cases with professionally prepared reports on MSA projections and non-Medicare covered estimates. They are quick to respond to our needs and have kept costs reasonable for the important service they gave us. I have no hesitation in giving them the highest recommendation.”   Steve Birnbaum, Partner Birnbaum Law, P.C. “Lien resolution has become increasingly complicated and time-consuming in recent years.… - [About Us](https://gomassive.com/about-us/): About Us Our Team of experts has been immersed in the Lien Resolution industry for years now. Since 2009, Med Lien Solutions provided services for both large-scale and individual Lien Resolution, while Med Max USA provided Medical Cost Projections and Medicare Set-Asides. The Med Lien Solutions and Med Max USA merger created a space for our experts to deliver the all-encompassing, MASSIVE: Medical and Subrogation Specialists MASSIVE is an independent provider of Lien Resolution and Medical Cost Projection services, including Medicare Set-Asides. We provide our clients with the highest quality services and keep them informed through our transparent technology. We understand… - [Single Event Lien Resolution](https://gomassive.com/single-event-lien-resolution/): Our lien resolution process effectively negotiates with healthcare insurers and simplifies case submission. We dedicate a single point of contact for all of your files, and provide you with on-demand access to our live data portal. There are no upfront costs for any of our lien resolution services.   Contact Us to Get Started Today! Single Event Lien Resolution Services: Medicare Lien Resolution Services Our Team accommodates the ever-changing Medicare guidelines and updates our processes to make sure that we achieve the best results for your clients. State Medicaid Lien Resolution Services We know that the variation in laws across… - [What We Do](https://gomassive.com/what-we-do-2/): What We Do MASSIVE is a nationwide provider of medical and subrogation services, serving the legal, medical and insurance industries. We specialize in Lien Resolution and Future Medical Allocation services, including Medicare Set-Asides. We are an expert team of attorneys and analysts dedicated to saving our clients time and money, using state of the art technology, our expertise, and personalized service to deliver MASSIVE results. Our Team resolves healthcare liens with Medicare, Medicaid, Private Health Insurance, ERISA Plans, Tricare, Veterans Affairs and more. Our work saves law firms time and money, by allowing attorneys and paralegals to spend their time… - [Blog](https://gomassive.com/blog-2/) - [Success Stories](https://gomassive.com/success-stories/): Success Stories Trostle v. Centers for Medicare and Medicaid Services: Part I April 18, 2019 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…. Read More Our Medicare Relationships Added Thousands to a Client’s Settlement April 9, 2019 Shelsby & Leoni has trusted MASSIVE with their medical malpractice cases since 2014. Recently, MASSIVE discovered a deceased plaintiff had two files open with Medicare.   This is a common… Read More A Guide to Medicare’s New Electronic Payment Function March… - [Cost Projections](https://gomassive.com/cost-projections/):   COST PROJECTIONS We provide the expertise, accuracy and timeliness you need when determining medical care costs, helping you obtain better outcomes. COST PROJECTIONS Build the value of your case by uncovering hidden dollars that increase settlement value while protecting your client’s future medical benefits. Our team has over 30 years of experience recognizing ‘undiscovered’ medical care and possess a wealth of knowledge in preparing the proper reports. Cost Projections options include non-Medicare covered costs only or choose our MCP Bundle which includes both non-Medicare and Medicare covered costs. - [Medicare Set-Asides (MSAs)](https://gomassive.com/medicare-set-asides-msas/): Medicare Set-Asides Medicare Set-Asides MASSIVE can help safeguard a plaintiff’s future medical benefits. MASSIVE’s team of experts have years of experience evaluating workers’ compensation and third party liability cases, satisfying Medicare’s past interests and identifying future medical allocations. After a case evaluation, we will determine if a Medicare Set-Aside (MSA) may be required to protect Medicare’s future interest.Although no official guidelines have been issued by the Centers for Medicare and Medicaid Services (CMS) for liability cases, as recent as October 2017, Medicare has made public statements that the agency believes Medicare Set-Asides are the best method to protect the program from… - [Medicare Set Aside](https://gomassive.com/medicare-set-aside/): Our Future Medical Allocation services, Including Medicare Set-Asides (MSAs), Provide Additional Protection for Your Clients Build the value of your case by uncovering hidden dollars that increase settlement value while protecting your client’s future medical benefits. Our team has over 30 years of experience recognizing ‘undiscovered’ medical care and possesses a wealth of knowledge in preparing the proper reports that allow for future expenses to be taken into consideration.We can help identify those dollars with a Non-Medicare Cost Projection to uncover any costs missed by a Medicare Set-Aside. MASSIVE also offers Full Medical Cost Projections to determine the true future… - [Contact](https://gomassive.com/contact/): Contact Us Learn how our Lien Resolution and Future Medical Allocation services can benefit you and your clients today.   Contact MASSIVE MASSIVE values your privacy and will not share your email address. For immediate assistance, call us at 833.466.2774. Let’s Connect Login or sign up for our Live Data Portal to get started with MASSIVE today. Direct Contact Phone: 833-466-2774info@gomassive.com Follow MASSIVE on Social Media   - [Our Services](https://gomassive.com/what-we-do/our-services/): [av_one_full first av_uid=’av-946v8′] [av_image src=’https://gomassive.com/wp-content/uploads/2018/08/Med-Max-Slider-Website-Hall-of-Justice-Exterior-981×430.jpg’ attachment=’1774′ attachment_size=’full’ align=’center’ styling=” hover=” link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ copyright=” animation=’pop-up’ av_uid=’av-8od1c’ admin_preview_bg=”][/av_image] [/av_one_full][av_one_full first av_uid=’av-8165s’] [av_textblock size=” font_color=” color=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” av_uid=’av-77onw’ admin_preview_bg=”] MY MED LIEN SETTLEMENT SERVICES My Med Lien offers a wide range of Settlement Services to meet your needs. We provide the expertise, accuracy and timeliness you need when determining medical care costs, helping you obtain better outcomes. [/av_textblock] [/av_one_full][av_one_half first av_uid=’av-ouko’] [av_iconlist position=’left’ iconlist_styling=” custom_title_size=” custom_content_size=” font_color=’custom’ custom_title=” custom_content=’#595959′ color=” custom_bg=” custom_font=” custom_border=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” av_uid=’av-67qok’ admin_preview_bg=”] [av_iconlist_item title=” link=” linktarget=”… - [Welcome](https://gomassive.com/welcome/): MASSIVE is the nation’s leading independent provider of healthcare Lien Resolution and Future Medical Allocation services, including Medicare Set-Asides. CONTACT US What We Do Medicare Lien Resolution Medicaid Lien Resolution Private Insurance and ERISA Lien Resolution Military, VA and TriCare Lien Resolution Mass Tort Lien Resolution and Multi-District Litigation Future Medical Allocations, Including Medicare Set-Asides (MSAs) About MASSIVE delivers more than Lien Resolution and reductions in a timely manner – we deliver results. Developed with attorneys who understand what’s involved with day-to-day workplace challenges, we communicate with our clients based upon the principles of competence, confidence and understanding. Modal Popup… - [Lien Resolution Blog](https://gomassive.com/blog/) - [Relations with Subrogors](https://gomassive.com/relations-with-subrogors/): Relations with Subrogation Firms Understanding the Intricacies of Lien Holder Subrogation Throughout the growth of MASSIVE, one of our top priorities has been to establish high-functioning business processes with the subrogation firms with whom we work. Investigating our counterparts to find out how each operates has allowed us to gain better knowledge for a greater overall efficiency. We take pride in mutually respectful relationships with each and every lien holder and insurance company.The MASSIVE Team has developed comprehensive workflows that take into account the time frames of large subrogation firms to ensure that our Single Event and Mass Tort Lien… - [State of the Art Technology Platform – Massive Easy Access](https://gomassive.com/state-of-the-art-technology-platform/): MASSIVE is on the Cutting Edge of Technology We are launching a new and improved proprietary technology based off the Salesforce platform in 2025! Be on the lookout for more information coming soon. Questions? Check out the Portal FAQ page.At MASSIVE: Medical and Subrogation Specialists, we embrace technology and used it to provide the best services for our clients. We utilize our proprietary software to provide an easy way for our clients to upload their cases at any time of any day, while using Optical Character Recognition software to review all liens we receive to ensure maximum reductions.The MASSIVE Live Data… - [Terms of Use](https://gomassive.com/terms-of-use/): [av_one_full first] [av_textblock size=” font_color=” color=”] AGREEMENT BETWEEN USER AND Massive The Massive Web Site is comprised of various Web pages operated by Massive. The Massive Web Site is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of the Massive Web Site constitutes your agreement to all such terms, conditions, and notices. MODIFICATION OF THESE TERMS OF USE Massive reserves the right to change the terms, conditions, and notices under which the Massive Web Site is offered, including but not limited to the charges associated with the use of… - [Privacy Policy](https://gomassive.com/privacy-policy/): [av_one_full first] [av_textblock size=” font_color=” color=”] Privacy Statement Massive is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to the Massive Web site and governs data collection and usage. By using the Massive website, you consent to the data practices described in this statement. Collection of your Personal Information Massive collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. Massive also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age,… - [Glossary of Terms](https://gomassive.com/faq/glossary-of-terms/): Glossary Of Terms 42 CFR 411.37 (Medicare) This is Medicare’s reduction or procurement formula. It reduces a CPL by the attorney’s fees and costs to get to the Demand amount. 42 USC 1395y(b)(2) (Medicare) 42 USC 1395y(b)(2) is the United States statute dedicated to Medicare reimbursement. The act is known as the Medicare Secondary Payer Act (MSP). Administrative Law Judge (Medicare) In a Medicare context, Administrative Law Judges (“ALJs”), decide Level 3 appeals for Medicare liens. Their process may involve a telephone hearing to be handled by MASSIVE. The ALJ hearing is generally not scheduled until 10-14 months after a… - [Multi-District Litigation and Mass Tort Lien Resolution](https://gomassive.com/what-we-do/multi-district-litigation-mass-tort-lien-resolution/): Providing Fast & Efficient Lien Resolution Even in the Largest Cases We recognize the need for fast and efficient lien resolution even in the largest of cases. At MASSIVE we have created simple solutions to large-scale lien needs. Our professional lien resolution process is designed to be completed faster, so that you and your clients can get paid sooner. Whether we utilize global resolution techniques or case-by-case reductions, our goal is to complete lien resolution in a manner most beneficial to you and your clients.For Medicare, much of the Mass Tort lien resolution process is handled by the CMS office… - [Veterans Affairs and Tricare](https://gomassive.com/what-we-do/military-va-tricare/): Veterans Affairs and TRICARE Our Experts Have the Knowledge to Successfully Resolve Military Liens Whether liens result from direct care by a Veterans’ Administration (VA) hospital, or simply insurance payments by the TRICARE program – Military liens are complex and governed by a special set of rules. Our lien resolution professionals have resolved liens with many of the hundreds of VA hospitals and JAG legal teams handling TRICARE lien resolution. Let us speed up the military lien resolution process and free your team to do what it does best – work on more cases. MASSIVE Can be of Assistance to… - [Private Insurance and ERISA Lien Resolution](https://gomassive.com/what-we-do/private-insurance-erisa-lien-resolution/): Private Insurance and ERISA Lien Resolution Let Our ERISA Experts Get You the Best Results for Your Cases Our lien resolution specialists work with hundreds of health insurance liens every day. Our expert Team is comprised of Attorneys with government experience in Washington, D.C. working in ERISA health plans. We understand the burden of both private insurance and ERISA lien resolution.Some of the most confusing laws have to do with health insurance and subrogation. ERISA may be the most complicated of them all. It is also why having an attorney who specializes in ERISA lien resolution is crucial.When the Employee… - [State Medicaid Lien Resolution](https://gomassive.com/what-we-do/state-medicaid-lien-resolution/): State Medicaid Lien Resolution Making a Complex System Simple for You The Attorneys and Lien Resolution Specialists at MASSIVE have the knowledge of the processes and rules for hundreds of state Medicaid programs’ subrogation and third-party liability projects. While each state has its own rules, Federal Medicaid statutes mandate certain conditions before a state can facilitate third party recoveries. Specifically, each state must set up specific laws and directives under which both payment and then recovery can occur for medical services. Each state has specific laws regarding recovery rights and protective measures for plaintiffs. Court Cases Affecting How Medicaid Liens… - [Medicare Lien Resolution](https://gomassive.com/what-we-do/medicare-lien-resolution/): Medicare Lien Resolution Faster Medicare Lien Resolution Processes and Timely Updates At MASSIVE, we know that Medicare impacts millions of Americans and that Medicare lien laws become more complex all the time. The task of lien resolution became more complex in 2007 when President Bush signed the Medicare, Medicaid, & SCHIP Extension Act (MMSEA) and then in 2013 when President Obama signed the Strengthening Medicare and Repaying Taxpayers Act (SMART). These changes, along with Medicare now covering more than 50 Million Americans, put stress on both your law firm and the Medicare Trust Fund. Medicare liens exist and Medicare requires… - [FAQs for Law Firms/Attorneys](https://gomassive.com/faq/): General What is “Lien Resolution”? Expand The term “lien” represents three different types of health insurance claims against your case. First, most of what we call “liens” are not liens at all. They are more accurately described as reimbursement rights to the health insurance company. These rights are created by laws and/or contracts. As an example, Medicare’s reimbursement right is through the United States statute 42 USC 1395y. Second, some rights are subrogation rights, which allow a health insurance to stand in your shoes and make a claim against the defendant. These subrogation rights can get in our way during… - [Resources](https://gomassive.com/resources/): Stay up to date on the latest news coming from MASSIVE: Medical and Subrogation Specialists. From upcoming events that our Team is involved in, to informative publications – MASSIVE is constantly learning and growing in order to serve our clients in the best possible ways. FAQ See our frequently asked questions for answers to your most pressing questions. MASSIVE Materials All of our Client Intakes and Authorizations as well as our Service flyers are available to you. Glossary of Terms Visit our Glossary of Terms for more information. Publication & Announcments Check here for the latest MASSIVE publications and announcements.… - [What We Do](https://gomassive.com/what-we-do/): [av_textblock size=” font_color=” color=”] Massive Services Founded on the principles of value, transparency and respect, Massive provides the critical help you and your clients need in resolving Medicare, Medicaid, Private Health Insurance and ERISA liens. Our expert lien claims management team removes the time consuming lien resolution processes from your work flow, and offers real-time, on-demand updates on all of your client’s lien information. Our national expertise has resulted in successful resolution of thousands of liens. We Offer: Medicare Lien Resolution:  Medicare lien laws become more complex all the time. We streamline the entire Medicare lien resolution process by monitoring… [comment]: # (Generated by Hostinger Tools Plugin)