Archive | March 2010

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Liens, Subrogation, and Dates of Incident

The date of incident might be the second most important piece of data in subrogation and liens.  Only the actual injuries involved are more important to your lien resolution than date of incident.  Surprisingly, many attorneys simply do not realize the effect an incorrect date of incident can have on their cases. Consequences An incorrect date of incident […]

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Medicare Reimbursement: What Happens When You Overpay Medicare?

Did you ever wonder why Medicare and its agencies (MSPRC, CMS, COBC) are not held accountable when they owe a beneficiary money?  The MSPRC will require you and your client to wait 10-14 weeks for reimbursement.   However, when you owe the government money there are severe consequences for late payments.  For instance, interest accrues. […]

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MSPRC Offers Process & Timeline Webinar

On April 14, 2010 the Medicare Secondary Payer Recovery Contractor (MSPRC) will provide a webinar regarding its current practices, policies, and timeframes.  The Webinar is schedule for 1:00 PM to 3:00 PM Eastern Standard Time. The MSPRC stated schedule for the webinar reads: New changes have been made to the MSPRC Conditional Payment and Demand Process. […]

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Section 111 of the MMSEA & Medicare Liens: A Harbinger of Settlement Delays?

Part 2 of 2 – Avoiding Delays This post is part two of a two-part series.  You can find part one here.  This entry deals with non-payment of settlements as a result of Section 111 of the MMSEA.  There is a solution: prepare. An Agreement is an Agreement – Except When it Isn’t The first […]

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MMSEA Not the Only Way for Medicare to Recoup Funds

One of Chicago’s larger hospitals is paying $1.5 Million to settle a Department of Justice allegation that it violated the False Claims Act.  Cheryl Jackson of the Chicago Sun Times writes that Rush University Medical Center in Chicago will pay the $1.5 Million as a result of $547,000 in Medicare benefits the hospital received from […]

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Section 111 of the MMSEA & Medicare Liens: A Harbinger of Settlement Delays?

Part 1 of 2 Last week, my colleague, Marcy Spitz, wrote about the Medicare-imposed delay in insurance reporting for personal injury cases.  We know that the Responsible Reporting Entities (“RREs”) are off the hook for any case settled prior to October 1, 2010, but, they still may report if they so desire. More important, Section […]

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MSPRC Timeframes Increase – Again

As of March 3, 2010, the MSPRC has again extended its timeframe to compile Conditional Payment Letters for plaintiffs and their attorneys.  The MSPRC now has 65 days after its Rights and Responsibilities Letter is generated to compile and send its initial Conditional Payment Summary.  This extended timeframe is prominently displayed on the MSPRC website […]

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Reprieve for RREs – MMSEA Reporting Pushed Back: What Does it Mean?

The Law: While the newest legislation impacting Medicare was targeted at the insurance industry rather than the plaintiff’s community, each group has been greatly affected.   The ramifications of these new laws are finally being seen. The Medicare, Medicaid, and SCHIP Extension Act of 20071 (MMSEA) is going to cause major waves in the PI legal […]

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Welcome to the LRS Blog!

There are a bunch of healthcare lien blogs on the internet.  So why read this one?  At LRS we deal with Medicare, Medicaid, and private insurers everyday.  We will keep up to date on their policies. Our staff has vast experience in the subrogation fields, including former department of labor staff members specializing in ERISA […]

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