Posts Tagged ‘healthcare’
Trump’s Proposed Medicaid Cuts – What it Means for Medicaid Liens
President Trump has proposed more than $800 Billion in cuts to federal Medicaid funding in his first major budget proposal. These cuts are far from certain today and may require a connection to the House’s health care bill passed last month. While many of these cuts mean that fewer people will be covered, what happens…
Read MoreFEHBA Liens Now Mimic ERISA Liens
On April 18, 2017, the United States Supreme Court ruled in Coventry Healthcare of Mo., Inc. v. Nevils that reimbursement or subrogation plan language in Federal Employee Health Benefit Plans (FEHBA) preempts any State law. This holding means that FEHBA liens now feel a lot like ERISA liens. Since the McVeigh ruling in 2006, there has…
Read MoreCIGA v. Price – Medicare’s Multiple Diagnosis Code Problem
In January, a California District Court attacked Medicare’s system of lumping related and unrelated diagnosis codes into payments. The problem lays in Medicare’s inflexible recovery system that essentially claims, if one code is related to the sued-for injuries, the entire payment must be repaid to Medicare. We blogged about it in January and noted that…
Read MoreMedicare is preparing for LMSAs. Are you ready?
Liability Medicare Set Aside. If you don’t know what an “LMSA” is yet, you’ll need to learn fast. On February 3, 2017, the Centers for Medicare and Medicaid Services (CMS) published Change Request 9893. It establishes new processes for LMSAs and No-Fault MSAs (“NFMSAs”) effective October 2, 2017. CR 9893 is directed to Medicare Administrative…
Read MoreMass Tort Lien Resolution Programs Speed the Process
Mass tort lien resolution is the same, but, different from single event resolution. One defining characteristic is the ability to exchange information with lien holders in bulk. Several of the major subrogation firms offer Lien Resolution Programs (LRP) for mass tort cases. LRPs are a way of efficiently exchanging large amounts of information and finalizing…
Read MoreAre Self-Funded ERISA Plans All That Scary?
The short answer is – they can be. But if you know how ERISA Plans operate you can achieve maximum reductions. Resolving liens can be a difficult and time-consuming task. Medicare frequently includes unrelated claims, but is statutorily required to reduce by a pro-rata share of attorney’s fees and costs. Insured health plans typically reduce…
Read MoreMedicare Liens Are Limited
Two weeks ago, a California District Court ruled that Medicare can only seek reimbursement for items and services related to the underlying claim. Logical? Sure. But there’s more to it! First, the Court took on Medicare’s combination of ICD-9 or ICD-10 codes into one payment. Second, the Court reminded us all that Medicare’s claim is…
Read MoreMassive Sponsors MAJ’s Workers’ Comp Seminar
Massive is a long time supporter of the Michigan Association for Justice, and we are excited to be the lunch sponsor at the Workers’ Compensation/Social Security Seminar January 13, 2016! Massive is the country’s most accurate and reliable lien resolution company. We resolve liens with Medicare, Medicaid, Private Insurance, ERISA, Military and VA. Our expertise ensures injured plaintiffs…
Read MoreMass Tort Authorizations & The Qualified Protective Order
What one item can single-handedly stop the entire lien resolution process? The lack of a properly executed, HIPAA compliant, authorization. When this simple form is missing, it becomes impossible to obtain lien information and the process stalls. Every attorney knows that many clients simply cannot be reached or fail to respond quickly to your requests.…
Read MoreJoin Massive at the Texas Trial Lawyers Association Conference
As a Bronze supporter of the Texas Trial Lawyers Association, we are excited to exhibit at this year’s conference December 8-9, 2016 in Dallas, TX! Massive is the country’s most accurate and reliable lien resolution company. We resolve liens with Medicare, Medicaid, Private Insurance, ERISA, Military and VA quickly and efficiently. Call today to discuss your lien resolution needs…
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