Medicare Advantage Plans and Liability Medicare Set Asides

Medicare Advantage Plans and Liability Medicare Set Asides

September 17, 2015

By B. Josh Pettingill, MBA, MS, MSCC Traditional Medicare vs. Medicare Advantage Plans There is often confusion between “Traditional Medicare”, Part A and Part B coverage and Medicare Advantage Plans. It is critical to identify exactly what benefits your client is actually receiving before the resolution of their case. The best time to confirm public […]

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Introducing Medicare 360° – A Complete Medicare Secondary Payer Compliance Solution

Introducing Medicare 360° – A Complete Medicare Secondary Payer Compliance Solution

July 14, 2015

Synergy Settlement Services’ experts will resolve the most difficult and complex Medicare Secondary Payer compliance challenges facing your firm. Medicare 360° is the complete solution for Medicare conditional payment resolution and Medicare Set Aside (MSA) allocations. Medicare 360° combines the most powerful services from our lien resolution group and our MSP compliance group into one […]

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Double Damages For Medicare Advantage Plans?  – 11th Circuit To Decide

Double Damages For Medicare Advantage Plans? – 11th Circuit To Decide

July 10, 2015

In Humana Medical Plan, Inc. v. Western Heritage Insurance Co., No. 12-20123, 2015 U.S. Dist.  LEXIS 31875, the U.S. District Court for the Southern District of Florida granted Humana’s Motion for Summary Judgment and held that Humana’s right to reimbursement for the conditional payments it made on behalf of plan beneficiary under a Medicare Advantage […]

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Humana vs. Western Heritage – Double Damages for Medicare Advantage Plans

Humana vs. Western Heritage – Double Damages for Medicare Advantage Plans

July 10, 2015

In Humana Medical Plan, Inc. v. Western Heritage Insurance Co., No. 12-20123, 2015 U.S. Dist.  LEXIS 31875, the U.S. District Court for the Southern District of Florida granted Humana’s Motion for Summary Judgment and held that Humana’s right to reimbursement for the conditional payments it made on behalf of plan beneficiary under a Medicare Advantage […]

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Medicare Gives Refunds? How Can My Client Get One?

Medicare Gives Refunds? How Can My Client Get One?

June 8, 2015

Repaying Medicare for conditional payments is a necessary but unpleasant process which can result in a greatly reduced net recovery or no recovery at all for an injured Medicare beneficiary.  The Medicare Secondary Payer Statute has a repayment formula that is designed to maximize the return of funds to Medicare and provides no consideration for […]

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Special Needs Trusts – The Differences

Special Needs Trusts – The Differences

May 26, 2015

Special Needs Trusts – The Differences By: Jason D. Lazarus, J.D., LL.M., MSCC, CSSC A special needs trust is a trust that can be created pursuant to Federal law whose corpus or any assets held in the trust do not count as resources for purposes of qualifying for Medicaid or SSI.  Thus a personal injury […]

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Are you Cutting A Check to the IRS this Year?

Are you Cutting A Check to the IRS this Year?

April 13, 2015

Are you Cutting A Check to the IRS this Year? By Daniel J. Alvarez, J.D. and Anthony F. Prieto, Jr., CFP® As the tax season draws to a close, you may be reviewing your tax return with some displeasure.  Did you cut too large of a check to the Department of Treasury for your 2014 […]

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How Quickly it Can Be Gone: Don’t Blow a Personal Injury Recovery

March 17, 2015

By: Jason D. Lazarus, J.D., LL.M., MSCC, CSSC In a February 11, 2015 article from the Business Insider, Michael Kelly and Pamela Engel detail twenty one lottery winners who blew it all (see http://www.businessinsider.com/lottery-winners-who-lost-everything-2015-2?op=1). In the article, there are details regarding the myriad of ways fortunes were lost. For example, “Lara and Roger Griffiths bought […]

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