Tag Archive | Section 111

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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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 […]

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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, […]

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Federal Register – June 15, 2012: Advanced Notice of Proposed Rulemaking (LMSAs)

The Friday, June 15, 2012 Federal Register includes a four-page request for public comment requested by the Department of Health and Human Services’ Centers for Medicare & Medicaid Services.  The comment is requested for potential changes to 42 CFR Parts 405 and 411 and is titled, “Medicare Program; Medicare Secondary Payer and ‘Future Medicals.’ “ […]

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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 […]

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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 […]

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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 […]

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