Archive | April 2010
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MSPRC Town Hall Meeting – April 29, 2010 – Wrap Up
Medicare’s MSPRC held a town hall meeting yesterday, April 29, 2010, from 1:oo PM to 3:oo PM Eastern Standard Time. Lien Resolution Services attended via Webinar. New Procedures As with the April 14 town hall meeting, no new additions to MSPRC procedures have been implemented. However, the moderator did explain the new Conditional Payment Notice […]
My Client is a Medicaid Beneficiary?
Who do you contact when you suspect your new client is a Medicaid beneficiary? Why do you have to contact that agency? When a new client steps into your office for a personal injury case it is important to determine who paid for his or her medical care. If you get this healthcare insurance information […]
MSPRC Town Hall Meeting – April 29, 2010
The MSPRC will host another Town Hall Meeting on April 29, 2010 from 1:00pm – 3:00pm (EDT). The meeting is titled: “Changes in the MSPRC Conditional Payment Process for Liability Insurance, No-Fault Insurance, and Workers’ Compensation Cases.” The MSPRC purpose for this meeting includes education on the New Conditional Payment Notice and Process, as well […]
Medicare Liens + Medicaid Liens: What is Left For The Plaintiff?
Medicare liens should never take more than one-third of any settlement or verdict amount. If you ever experience a situation where the MSPRC or CMS claims more than one-third of that amount you have made a mistake. Any lien resolution provider should quickly resolve such an issue. But, Medicare will never factor an ERISA lien, […]
Speeding Up Medicare Lien Resolution – Tips & Tricks
Generally, a Medicare lien resolution time line is as follows: Report to the COBC – Day 1; COBC transfers the lien file to the MSPRC (2-4 days); MSPRC sends a “Rights & Responsibilities Letter” to both the attorney and the client (10-15 days); MSPRC sends a Conditional Payment Letter to the client, and to any […]
Could You Have an ERISA Lien on Your Settlement?
You hear the words loosely that an ERISA lien may exist on your personal injury settlement. But what do you really know about ERISA? Many practitioners believe that a private health insurance carrier operates just like the U.S. Medicare system when it comes to healthcare liens. This is not true. A private health insurance carrier […]
Medicaid Reimbursement – What is Your Obligation?
Unlike Medicare reimbursement, the Medicaid programs are only entitled to reimbursement from settlement funds apportioned as medical costs. The Supreme Court of the United States held in the 2006 case Arkansas Department of Health and Human Services, et al., v. Ahlborn that the federal Medicaid statute does not allow states to place liens on any […]
Medicare Conditional Payment Letters – Can a Lien be Too Low?
Imagine you have waited the 80 or so days it takes to get your first Medicare Conditional Payment Letter (the initial lien). First, you take a quick glance and notice that the MSPRC has paid $5,000. But then you realize that your client broke her hip and spent five months in convalescent care. You think […]
Medicare/MMSEA – Defense “Query” of Plaintiff
As we approach the newest start date for Section 111 MMSEA Reporting, many plaintiffs’ attorneys have been approached by defense attorneys with new forms. These new forms ask for personal information regarding the plaintiff, beneficiary, and even attorneys. Why? Under the MMSEA, the defendants have become Responsible Reporting Entities (“RREs”). This means that they are […]
MSPRC Townhall Meeting 4/14/2010 – Wrap Up
Medicare’s MSPRC held a town hall meeting yesterday, April 14, 2010, from 1:oo PM to 3:oo PM Eastern Standard Time. Lien Resolution Services attended via Webinar. New Procedures No new additions to MSPRC procedures have been implemented. However, the moderator did explain the new Conditional Payment Notice alternative, which is only used in two Medicare […]
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