A Timeline for Medicare Lien Resolution with MSPRC
CMS has revamped the Medicare recovery process, creating a more efficient and less questionable path for the verification of Medicare conditional payments.
CUTTING EDGE INDUSTRY THOUGHT LEADERSHIP INSIGHTS
Synergy’s blog brings you the industry’s foremost thought leadership InSights on matters of healthcare lien resolution and Medicare Secondary Payer Compliance. Visit often to discover helpful InSights on important lien resolution compliance issues.
CMS Update- MMSEA Section 111
CMS has made the following updates to the MMSEA section of the CMS website: http://www.cms.gov/mandatoryinsrep/04_whats_new.asp:
Ask a Lien Professional: Can the VA Recover from UM Coverage?
Question: Do the VA subrogation rights apply to UM coverage, or do they only apply to the responsible third-party? Answer:The right of the VA to recovery from UM is not a definite yes or no answer.
Malpractice – Medicare will not pay for “Hospital Acquired Conditions a.k.a “Never Events”
In CMS’ efforts to improve the quality of care, as of October 1, 2008 Medicare will not pay for certain injuries/conditions acquired during inpatient care, these injuries/conditions have been named by CMS as “never events” or “hospital acquired conditions” (HACs).
Ask A Lien Professional – Wrongful Death and Medicare
Question: “I am the executor of estate on behalf of my mother who was a Medicare beneficiary. This is a wrongful death case, so does Medicare have a lien in this situation? ” – Florida Resident
Insurers Request for Plaintiff Social Security Number
In order for CMS to accurately coordinate payments made by Medicare to ensure appropriate payment, Medicare requires the HICN (Health Insurance Claim Number) or the SSN and the EIN (Employer Identification Number).
Ask a Lien Professional – ERISA Subrogation & Reform
QUESTION: Will the new Health Care Reform Law have any affect on ERISA plans and subrogation in the future? – FL Attorney
Reviews from Synergy Lien Resolution Clients!
The Reviews Are In! Synergy’s Lien Resolution unit opened its doors in June 2009, with the purpose of providing complete lien resolution services to the trial bar.
Medicare Denied Claims and Conditional Payments
Medicare claim denial is unfortunately a common problem that Medicare beneficiaries are faced with.