Unrelated Medical Expenses Part 2

Challenging Unrelated Medical Expenses on Medicare Liens Part 2

Before you celebrate that settlement, be sure that you have considered Medicare by meeting Medicare compliance requirements. The Medicare program will aggressively pursue a personal injury lien against your plaintiff. If your client is a Medicare beneficiary, it is imperative that these benefits are accounted for and reimbursed to the appropriate program to avoid serious penalties. We encourage you to read part one of our article to learn more.

Dispute the Expenses

If after auditing the Conditional Payment Letter, you find discrepancies, circle them and submit a dispute letter to the MSPRC to have them removed. The MSPRC will review your dispute and send a new Conditional Payment Letter to you in approximately 45 to 65 days. If the MSPRC is an agreement with any of the items disputed, a lower lien amount will reflect this.

Maintaining Compliance

Handling personal injury cases requires due diligence on the part of attorneys. By law, your client must pay Medicare back from their settlement. To avoid exposure to legal damages, it is essential that you establish a process to identify Medicare beneficiaries to ensure both you and your clients meet Medicare compliance. You will need to be prepared to handle the issues that may arise in these types of cases in order to secure your client’s settlement and to avoid personal liability yourself.

Let Our Experts Help You

Medicare liens can be complex and a challenge. It is crucial that you maintain Medicare compliance to avoid serious penalties. Do not wait to partner with a settlement planner because Medicare liens take time to resolve. Additionally, you want to give yourself time to audit your client’s lien report to have all unrelated expenses removed. This will play a key role in preserving as much of your client’s settlement as possible.

Synergy Settlement Solutions has extensive experience navigating the Medicare lien process. The lien process takes some time and will require you to request updates as well as challenge new unrelated items as they appear. We know that every settlement dollar matters, therefore, we are dedicated to assisting you and your clients with the lien recovery process to protect your client’s settlement money and future benefits.

For more information or to schedule a consultation, please submit our contact request form or call (877) 242-0022.

Disclaimer: The information contained in this article is for general educational information only. This information does not constitute legal advice, is not intended to constitute legal advice, nor should it be relied upon as legal advice for your specific factual pattern or situation.

TESTIMONIALS

"Synergy provides great service and are very helpful to my clients. Sometimes clients have trouble understanding the annuity concepts and Synergy does a wonderful job making everything clear and understandable. It is a pleasure to work with Synergy on cases."

Glen Wieland
Wieland, Hilado & Delattre

"Coincidentally, on the day of a recent Synergy Seminar on Medicare & ERISA lien resolution I received a letter on an ERISA lien. This letter followed much back and forth between myself and the recovery vendor for BCBS. Despite my efforts they were adamant there would be no (zero)(zilch)(nada) reduction and provided case law to support their position. I tried Synergy’s Lien Resolution Services since I had just heard their Director of Lien Resolution speak. Synergy got them to reduce their claim by a third in less than ten (10) days. The result was quick and the fee very reasonable. If you have a tough ERISA lien and your typical efforts don’t work, give Synergy a try."

Michael S. Smith, Esq.
Lesser, Lesser, Landy & Smith, PLLC

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