Articles Posted in Medicare Liens

I found this link with MSPRC’s website and thought it might be helpful to some of you. This link takes you to the PDF lists of all the Medicare diagnosis codes dating back to 2002. http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/codes.html You can download the pdf files and open them in Acrobat and then CTRL F search for the codes…

I was sent this brief “idiot’s guide” to dealing with Medicare and thought it was an excellent summary of the process. I’ve posted it in full, along with the contact information for a company that will help with the lien resolution process. I am not endorsing their product as I have never used their services.…

New Fixed Percentage Option For Medicare’s Recovery Claim The Centers for Medicare & Medicaid Services will be implementing a new and simple fixed percentage option that will be available to certain beneficiaries beginning November 7, 2011. This option is available to beneficiaries who receive certain types of liability insurance (including self-insurance) settlements of $5000 or…

I read an interesting newspaper article over the weekend by Robert Pear for the New York Times News Service.  Read the article here.  Another good version of the article can be read here. The article says that the Bush administration “will no longer pay the extra costs of treating preventable errors, injuries and infections that…

I had the pleasure of speaking this morning at the North Carolina Academy of Trial Lawyer’s Workers’ Compensation Roundtable Seminar. I was pinch hitting for a number of State and federal Employees who were supposed to talk about: Medicaid, Medicare, State Employee Health Plan, and TriCare. Instead, they got me. I am posting a link…

When an attorney is requesting a lien from Medicare, it is important to request the lien amount as soon as possible. I suggest that when you first “take in” a case you set up the Medicare lien request so that you don’t have to wait too long on the “back end”. Don’t worry if the…

What is a Medicare Set Aside (MSA)? In 2001 Medicare (CMS) announced that it would begin to exercise the Medicare Secondary Payer (MSP) statute. The concept of the law is that Medicare is a “secondary payer” when any other form of insurance exists to pay claims. Before 2001, that meant traditional health insurance, but starting…

I will be teaching a seminar at the North Carolina Academy of Trial Lawyers this Friday on the implications of Ahlborn on Medicaid Third Party reimbursement. I will also talk about the implications of the recent Ezell case in NC. The Seminar is being “webcast” so if you can’t come to Raleigh, you will be…

My friend, attorney Julie Bell at Lewis & Daggett, in Winston-Salem, tipped me off that Medicare is going to change their lien processing system, again. For a long time, we would deal with a local office. Then we transitioned to a national office in New York and they would get us in touch with a…

Medicare is the Federal health benefit available to seniors and those determined to be disabled by Social Security Disability. Every pay check you get has taxes taken out to pay Medicare. If you have a personal injury case and receive a settlement, Medicare has a right to be paid back for any medical costs they…