RREs
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 […]
House & Senate Pass Medicare’s SMART Act
Both the House and Senate passed the SMART act prior to the Christmas holiday last week. In the House just 3 “no” votes were cast against 401 “yes” votes. The Senate passed the act without a single “no” vote. There is little doubt that President Obama will sign the bill into law. What is the […]
Medicare Advantage Plans Entitled to Medicare Liens
In late June, the 3rd Circuit held that Medicare Advantage Plans (“MAP” or “MAPs”) have the same rights to reimbursement as regular Medicare. The district court in In Re Avandia Marketing, 2011 U.S. Dist. LEXIS 63544, (E.D. Penn. 2012) originally held the plans do not have the same rights to reimbursement as regular Medicare. However, […]
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 […]
Update: New Medicare RRE Reporting Guidelines
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 […]
Medicare & No-Fault: Speed Up the Process
If you practice personal injury, especially automobile accident law, you will run into extra steps for Medicare liens. Medicare has long required information regarding any kind of No-Fault insurance before it compiles a Final Demand for your case’s lien. Even if you’re not in a No-Fault insurance state you need to keep reading. Why? As […]
Medicare Mandatory Reporting Moratorium
Lien Resolution Services is continuing to follow this story. Updates will be made as they become available. The Department of Health and Human Services (HHS), Center for Medicare and Medicaid Services (CMS), and Medicare Secondary Payer Recovery Contractor (MSPRC) have announced a one year delay in implementation on Section 111 reporting requirements for claims involving […]
New Medicare Laws; New MSPRC/Medicare Phone & Address
The Medicare Medicaid & SCHIP Extension Act (“MMSEA”) was passed more than three years ago. Today, October 1st, 2010, its reporting section finally goes into effect. How will reporting change the Healthcare Lien landscape? How do you comply with the MMSEA? Click here for more information. In anticipation of the long-awaited implementation of the MMSEA […]
MMSEA – RRE Reporting Begins Oct. 1, 2010
President George W. Bush signed the Medicare Medicaid & SCHIP Extension Act (“MMSEA”) more than three years ago. On October 1st, 2010, its reporting section finally goes into effect. How will reporting change the Healthcare Lien landscape? How will it change Personal Injury Law? The Defense Fears The MMSEA turns defendant-insurers into Responsible Reporting Entities […]
CMS User Guide 3.1 Released
CMS has released User Guide 3.1 for MMSEA reporting. You can find a copy of the user guide on the Lien Resolution Services website, or, by clicking here. While most changes involve Responsible Reporting Entity (“RRE”) requirements, some of those changes will have a trickle down effect on plaintiffs, their Medicare liens, and plaintiffs’ attorneys. […]
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