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Archive for February, 2010

**MMSEA ALERT** Additional Information Regarding MMSEA Changes 2/25/2010

Thursday, February 25th, 2010

CMS Provides Additional Guidance for the Implementation of MMSEA on January 1, 2011

MMSEA Section 111- CMS What’s New 02/25/2010:  http://www.cms.hhs.gov/mandatoryinsrep/04_whats_new.asp?

 

February 25, 2010

The following documents are being posted to the NGHP section page: 

  • NGHP User Guide, V3.0 dated February 22, 2010
  • Revised February 24, 2010 Notice and Agenda for 2010 Teleconferences for NGHP denoting new date for the cancelled February 10th call.

Live reporting for MMSEA Section 111 will take place on January 1, 2011.  The 7/1/2009 reportable claims date has been retracted. The following 2010 settlements are now reportable:

  • October 1, 2010 (on or post):  Lump sum awards
  • January 1, 2010 (on or post):  Expected ORM  (Ongoing Responsibility to Medical)

 MMSEA Section 111- CMS Alert 02/24/2010:

http://www.cms.hhs.gov/MandatoryInsRep/09_Alerts.asp#TopOfPage

In order to be compliant with MMSEA Section 111 RRE’s must: Read the rest of this entry »

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Reviews from LSS Clients!

Thursday, February 18th, 2010

The Reviews Are In! 

Lien Settlement Solutions, LLC opened its doors in June 2009, with the purpose of providing complete lien resolution services to the trial bar.  We make a special effort to be an advocate for our clients, and achieve the best possible results on their behalf.  Well, now our clients have spoken! Here are a few testimonials!    

“I have been working with [LSS] for the past nine months. I am very satisfied with the results [they have] accomplished for our firm on several of our cases.” Rosario Ingles, Closing Case Manager – Law Offices of William Ruggiero    

“[LSS] was extremely knowledgeable and effective in assisting to reduce our client’s insurance lien.  She was a pleasure to work with, extremely professional, and went above and beyond the scope of our expectations.  Many times, throughout our case, [they] worked after business hours to accommodate our needs. The end result was a huge savings for our client and we hope to utilize her and the company in the future.” Joni Hautamaki – Didier Law Firm   

Call us today to see how we can assist in your case management! (877)907-LIEN (5436).

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Ask A Lien Professional: Recovery Contractors

Thursday, February 18th, 2010
Question:

I have a case that has a private insurance lien. I sent in a notice to the insurer, but got a response from another company.  What do I do with this? - Orlando Attorney 

Answer: 

 When resolving a possible lien with a private insurer, it is important to know who the involved parties are, and their role in the resolution of a case.  You have received a response from a “Recovery Contractor” which is a separate company hired by the insurer to address all subrogation and recovery issues on their behalf.  Recovery contractors have the authority to initiate collection activity against the insured, to provide information about the claims included in the lien, and act as the liaison between the lien holder and the insured in matters of lien negotiation.  In order to get the best results from a recovery contractor, there are three things you should know.  

 
 1. They want to recover as much as possible – even if they aren’t entitled to it!
Recovery contractors are a lot like collection agencies.  They want to recover as much as possible, because in some cases, it adds to their bottom line.  The problem with that is, the amount that is submitted for payment  is not always the amount that the claimant should have to pay.  It is important to audit the claims included in the lien to be sure that they are all related to the compensable injury.  Even more important is the evaluation of the plan language and plan type before making any offers or payments. 

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MMSEA UPDATE: MMSEA Implementation Date CHANGED to 2011

Thursday, February 18th, 2010

According to CMS, the following changes have been made regarding the implementation of the MMSEA Mandatory Reporting Requirements:

1. Live Section 111 reporting has been extended from April 1, 2010 to January 1, 2011.

 
2. Testing of the HEW software and all other reporting processes will continue to take place throughout 2010.
 
3. Clarification regarding Section 111 penalties and additional information will be posted on the CMS website on February 22, 2010.  Also, during the week of February 22, a new User Guide will be published.
 

What’s New

This section will provide an at-a-glance listing of new information, updates and changes to the MMSEA111 web page.

Read the rest of this entry »

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This Just In… Toyota Recalls May Have Subrogation Issues

Wednesday, February 17th, 2010

As automobile maker Toyota announces new warnings and repairs for many of its models, law firms nationwide are gearing up for legal issues that have resulted from the massive recall.  Millions of cars are in the process of being repaired by Toyota in an effort to avoid any further issues with the faulty vehicles.  However, there is a growing number of firms who are investigating possible lawsuits against Toyota, especially in accident and injury cases that include one of the recalled vehicles. 

Insurers are looking through their settlements to see if subrogation is an option.  State Farm has already started evaluating possible subrogation action, stating that “could result in us subrogating against the vehicle manufacturer,” (Varro, www.insurancenetworking.com).  According to National Underwriter Online News (www.property-casualty.com) Allstate Insurance Company may also examine recent cases involving Toyota vehicles to determine whether there is a correlation.  According to Allstate spokesman Mike Siemienas: Read the rest of this entry »

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MSPRC Hosts Webinar about Lien Resolution Process

Wednesday, February 17th, 2010

On November 12, 2009, the Medicare Secondary Payer Recovery Contractor (“MSPRC”) hosted a webinar titled, ”MSPRC Recovery Process for Liability, No Fault, & Workers Compensation Cases“.   The webinar was moderated by Monique Cooper of MSPRC, along with a few words from Barbara Wright, of the Centers for Medicare & Medicaid Services. 

The purpose of the webinar was to give attorneys a tutorial of the MSPRC/Medicare Recovery process, and to update attorneys on recent changes in Medicare reporting, the addition of the Proof of Representative requirement, changes to the MSPRC.info website, and a brief summary of the Section 111 Mandatory Reporting guidelines by Barbara Wright.  The webinar began with an overview of Medicare’s right of recovery, and a summary of Medicare Secondary Payer and its history.  Medicare is secondary to all liability, no fault and workers compensation insurers when there is a compensable illness, injury or condition requiring litigation or a settlement from a liable third party.  Read the rest of this entry »

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