Final Lien Demand

SMART Act: Final/Conditional Medicare Lien Process

Looking back at yesterday’s SMART Act post it is hard to decipher how to properly obtain what we are calling a “Final Conditional” Amount or Lien.  We hope the following workflow (including our assumptions and expectations of the future process) will help: T-120 days to settlement – Send an Expected Settlement Notice to the MSPRC; […]

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SMART Act: Is Medicare Lien Resolution Smarter Now?

On January 10, 2013, President Obama signed H.R. 1845.  Included on the Medicare IVIG Access Bill is the SMART Act.  SMART was designed to reform the conditional payment, final demand, and MMSEA Section 111 reporting processes.  Click here to read the full text of H.R. 1845.  As you can see below, we aren’t as excited […]

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AAJ Working Toward 2nd Circuit Allocation of Medicare Lien

The AAJ sent out an update regarding a case where it is attempting to win a major victory for Medicare beneficiaries.  The plaintiffs are using Bradley v. Sebelius to try to convince a probate court to allocate the settlement funds and reduce Medicare’s lien.  The AAJ writes, In Bradley, the probate court ordered an apportionment […]

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Medicare Conditional Payment Notices

Yesterday I saw more Conditional Payment Notices from Medicare in one day, than I had the entire month of April.  Conditional Payment Notices (“CPNs”) are different than Conditional Payment Letters (“CPLs”), but they should not concern you if you know how to respond.  This post will discuss what is a CPN, what do to with […]

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Medicare’s Self-Calculated Payment Amount: Pros and Cons

Yesterday we wrote about a new way to resolve Medicare Liens in our post: MSPRC to Offer Pre-Settlement Final Demands.  In that post we promised to analyze the pros and cons at a later date.  We stick to our promises at Lien Resolution Services.   The Benefits of Medicare’s Self-Calculated Payment Amount The most obvious benefit […]

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MSPRC to Offer Pre-Settlement Final Demands

The MSPRC recently announced a new option which essentially creates pre-settlement Final Demands for Medicare Liens.  From its website: New Option to Self-Calculate Your Conditional Payment Amount On February 21, 2012, the Centers for Medicare & Medicaid Services (CMS) will implement an option that allows certain Medicare beneficiaries to self-calculate Medicare’s final conditional payment amount […]

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Does Medicare’s New Final Demand Comply with Haro?

On Monday, June 27, 2011, the Medicare Demand Freeze of 2011 ended.  It took the MSPRC and its parent organization, the US Department of Health and Human Services (HHS) at least 50 days to rewrite the Medicare Final Demand Letter.  For weeks we speculated that Haro v. Sebelius had forced the MSPRC to end its […]

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