The Section 111 Penalty Era Has Started. It Is a Plaintiff Problem, Not an Insurer Problem.
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 requires liability insurers, no-fault insurers, workers’ compensation carriers, and self-insured entities to report settlements, judgments, and awards involving Medicare beneficiaries to CMS. The reporting captures the beneficiary’s identity, …
Inside Michael McCready’s playbook for trial lawyer operations, AI adoption, and law firm scaling.
Most personal injury firm leaders confuse two questions. Are we winning cases? Are we running a healthy business? They are not the same question. And the firms pulling ahead are the ones who stopped pretending otherwise.
In a recent episode …
Medicare Final Demand Isn’t the End of the Line
When a Medicare Final Demand arrives in the mail or your inbox, the clock starts ticking. Under the Medicare Secondary Payer recovery process, payment must be made within 60 days of the Final Demand letter to avoid interest on the
How to Build Medicare Compliance in a PI Firm
Medicare compliance sits at the center of modern personal injury practice operations. Trial lawyers and paralegals face real exposure when Medicare interests go unaddressed or get handled incorrectly. The risk is not abstract. Medicare can assert direct recovery rights, including
Part C: The Hidden Lien That Comes Back Later
You settled the case. Medicare was paid back. The file is closed. Or so you thought.
If your client had a Medicare Advantage Plan, also known as Part C, that “closed” file could come back to haunt you. Part C
How to Avoid Medicare Conditional Payment Mistakes That Delay Settlement
Medicare conditional payments are one of the most common sources of settlement delays, mistakes, and malpractice risk in personal injury litigation. They aren’t optional. They aren’t minor. And the Department of Justice has made it clear: if your firm fails
Post Final Demand Medicare Compromise & Waiver: Better Client Outcomes
When a Medicare final demand hits, the timer starts. Payment is due within 60 days or interest begins to accrue. If you miss that window, the debt can end up with the U.S. Treasury. But for personal injury firms, the
Demystifying Medicare Set-Asides: What Every Legal Professional Should Know
Demystifying Medicare Set-Asides: What Every Legal Professional Should Know
What is a Medicare Set-Aside and why should legal professionals be concerned about them? It all centers around the questions of Medicare’s future interests. That’s where Medicare Set-Asides (MSAs) come in.
Pitfalls in MSP Futures Compliance and How to Avoid Them
When you represent a Medicare beneficiary in a personal injury case, doing nothing about Medicare Secondary Payer (MSP) futures compliance is not a defensible option. Ignoring the risks can lead to denied care for your client and exposure to legal
The Real Cost of MSP Mistakes
Why Medicare Compliance Can’t Be Ignored
If you represent injury victims who are Medicare eligible, strict Medicare Secondary Payer Act (MSPA) compliance is not an option. The risks are real, and the consequences can be serious. Missteps don’t only harm
