On September 30, 2011 the Centers for Medicare and Medicaid Services (“CMS”) revised its Mandatory Insurer Reporting timelines – again. The difference between this change and the previous revisions and moratoriums is that certain cases must be reported. Which cases? Funny you should ask: The only cases that must be reported are those with total settlement values over $100,000.00.
As has been the case for quite some time, all cases may be reported, but only settlements over $100,000.00 must be reported. Defense-insurers will report whatever they choose to report. The key for Plaintiff firms and Defense firms is to work together. The best way for us to fairly determine Medicare lien amounts (and what should be paid back to Medicare) is to show Medicare for what you truly settled. This means Defense-insurers should not say the sued-for injuries are every body part.
Why is that good for plaintiffs? Lower liens.
Why is that good for defendants? Lower liens means possibly lower settlements and it means reporting is easier.
Why is that good for Medicare and Medicare liens Less work for the MSPRC and potentially faster payment.
Full reporting rules for Medicare liens:
- Total Settlement over $100,000: Settlement after October 1, 2011 must be reported on January 1, 2012;
- Total Settlement over $50,000: Settlement after April 1, 2012 must be reported on July 1, 2012;
- Total Settlement over $25,000: Settlement after July 1, 2012 must be reported on October 1, 2012; and,
- All Settlements over minimum threshold: Settlement after October 1, 2012 must be reported on January 1, 2013.
LRS will keep you apprised of all changes, including contact information for obtaining lien information, by Twitter (@LienResolve) and on LienBlog. Be sure to follow us on both! If you need assistance with Medicare liens, Medicaid liens, ERISA liens, or any other healthcare liens, contact LRS. LRS can help resolve all healthcare liens. Please contact us for more information.
Ryan J. Weiner Co-Founder Lien Resolution Services www.lienresolutionusa.com https://lienblog.wordpress.com Twitter: @LienResolve firstname.lastname@example.org