Posts Tagged ‘healthcare’
CMS Update on Regional Office Move
Update from CMS: The Philadelphia Regional Office is Moving Keeping you up to date on all things CMS! The Centers for Medicare & Medicaid Services (CMS) has announced that the Philadelphia, PA Regional Office is moving. The new contact information is below: 801 Market Street Suite 9400 Philadelphia PA 19107-3132 215-861-4178 If you need assistance…
Read MoreMedicare Numbers Transition: Begins April 1
Medicare is finally transitioning its beneficiary ID numbers (known as Health Insurance Claim Numbers, or, HICNs) beginning April 1, 2018. This change is required by a 2015 law, and Medicare first announced this transition nearly a year ago on May 31, 2017. See our previous blog post on this topic by clicking here. How will the…
Read MoreMedicare Reporting Guidelines – 2018 Update
CMS has released its annual SMART Act report to Congress. The report includes the usual updates you’d expect, namely, cost of recovery data and reporting thresholds. Reporting Thresholds First, CMS has updated 2018 Mandatory Insurer Reporting and plaintiff-settlement reporting thresholds. Any settlement below these amounts needs not be reported by defendants (or, “primary payers”) and…
Read MoreMedicare & The Upside Down (Case)
Sometimes we refer to a case where fees and costs exceed settlement as “upside down.” An Indianapolis firm asked us: can a Medicare Plan (meaning Medicare Advantage or Medicare Supplemental Plan) claim a lien in the upside down world? No. Medicare Advantage Plan liens claim their rights exist from the same laws that allow Medicare…
Read MoreMassive Presenting at ATLAS Lawyers Seminar
Massive is a very proud supporter of ATLAS and we are excited to be presenting at the ATLAS Lawyers Legal Seminar February 21-23, 2018 in Miami, FL! Managing Partner Todd Franklin will be addressing the topics “Streamlining Lien Subrogation and Medicare Set-Asides: The Ripple Effects Felt by the Plaintiff.” This presentation will be full…
Read MoreAhlborn is Back – Retroactively. What it Means.
Nearly every trial lawyer association has put out an alert by now: “Ahlborn is back!” “Permanent & Retroactive Ahlborn ‘Fix’” “Ahlborn… Resurrected?!” You get it. We get it. Everybody gets it. Ahlborn, it’s a thing again. But what does that mean for you? First – a quick history. The Ahlborn case involved the plaintiff arguing…
Read MoreCRC Transition Begins Today (February 7, 2018)
Please remember Medicare liens for what it considers No-Fault and Workers’ Compensation files may not change for a few days. Performant Recovery, Inc. officially takes over tomorrow, February 8, 2018; however, CGI is handing off all data beginning today, February 7, 2018. All CRC files will re-start processing (mail, faxes, etc.) on Monday, February 12, 2018.…
Read MoreCRC Transition Days – February 7 – 9, 2018
As we’ve previously discussed, Medicare’s CRC contractor is changing from CGI to Performant Recovery, Inc. on February 8, 2018. The CRC is having three days of what it is calling it’s, “Dark Days” from February 7 thru 9, 2018. What does this mean? Medicare No-Fault and Workers’ Compensation files will be accessible, but, no additional…
Read MoreCMS’s New Medicare Set-Aside Contractor
CMS can finally move forward with its new Medicare Set-Aside (“MSA”) contractor. While that contract was awarded in September, two organizations challenged that award arguing that CMS “unreasonably failed to permit offerors to make oral presentations and failed to conduct discussions.” More interesting, Arch Systems, LLC argued that the agency “failed to reasonably evaluate the…
Read MoreNew CMS Contractor Coming February 2018
The Centers for Medicare & Medicaid Services (CMS) has announced that a new Commercial Repayment Center (CRC) Contractor, Performant Recovery, Inc. will take over CRC duties on February 8, 2018. Performant will assume responsibility for conditional payment recoveries from no-fault insurers and workers’ compensation entities. CMS will be presenting webinars on the transition on January…
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