Synergy Blog

Liability MSAs: The Whole Truth and Nothing But the Truth

B. Josh Pettingill Problem 1) There is still an incredible amount of misinformation in the marketplace about Liability MSAs. Despite efforts to raise awareness and educate stakeholders about LMSAs, many of the largest liability insurance carriers are still convinced that failure to address Medicare’s future interests on liability case creates exposure for them. There is…

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Ignore Medicare’s recovery rights at your peril! Plaintiff firm settles with the U.S. Government for inadequately addressing and repaying Medicare Conditional Payments.

On June 18, 2018, the U.S. Department of Justice’s Attorney’s Office for the Eastern District of Pennsylvania announced a recently concluded settlement with a plaintiff firm involving the repayment of Medicare Conditional Payments.  The government’s investigation arose under the Medicare Secondary Payer provisions of the Social Security Act, which authorizes Medicare, as a secondary payer,…

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Leveraging Structured Settlements: Take Full Advantage Of Their Many Benefits

Synergy has a group of experts, Synergy Settlement Consulting, dedicated to providing comprehensive and creative settlement planning solutions for clients.  The Settlement Consulting group creates holistic plans that take into account the specific needs of the client by matching them up with available financial products to meet those needs.  Structured settlements are an important financial…

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Leveraging Structured Settlements:  Take Full Advantage Their Many Benefits

Synergy has a group of experts, Synergy Settlement Consulting, dedicated to providing comprehensive and creative settlement planning solutions for clients.  The Settlement Consulting group creates holistic plans that take into account the specific needs of the client by matching them up with available financial products to meet those needs.  Structured settlements are an important financial…

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Urgent Alert – Liability Medicare Set Asides: One Step Closer to Reality

CMS continues to forge ahead with establishing formal guidelines for Liability Medicare Set Asides (LMSAs). Over the past several months, The Centers for Medicare and Medicaid Services (CMS) has met with key stakeholders from the insurance industry, the plaintiff’s bar and the Medicare set aside community. These meetings were not held in a public forum…

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TOP 50 MOST UNREASONABLE HOSPITAL LIENS

Increasingly trial attorneys are discovering that settlement of a personal injury or wrongful death claim with the tortfeasor can be the beginning not the end of negotiations or even litigation. Once settlement funds are received, the often-protracted lien resolution process begins, especially hospital liens. Hospitals typically demand reimbursement of their full, undiscounted list prices for…

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Planning for Liquidity is Critical to the Settlement Plan

For catastrophically injured clients, cash requirements which are immediate, as well as those in the future, need to be considered when devising the settlement plan.  This is so because without taking it into account, many settlement plans are devised with insufficient liquid assets to properly address the needs without significant market losses.  Investopedia defines liquidity…

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Medicare Lien Surprise: Don’t Ever Rely on a Conditional Payment Letter

An intriguing case, Mayo v NYU Langone Med. Ctr., just came out of the Supreme Court of New York, reminding the trial bar that when resolving a conditional payment for a Medicare beneficiary only the “Final Demand” letter is final.  Reliance upon a “Conditional Payment Letter” (CPL) is inappropriate.  The Mayo case revolved around whether…

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Big Data and Medicare – Recipe for Disaster

Josh Pettingill, MBA, MS, MSCC Introduction A vital step to navigating the MSP statute is understanding the dynamics between the Section 111 Reporting Requirement and the potential interplay for a Liability Medicare Set Aside (LMSA). The MSP statute precludes Medicare from paying for any item or service when payment has been made by a liability…

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Medicare Advantage Private Cause of Action is Now Sweeping the Country

Medicare Advantage Private Cause of Action is Now Sweeping the Country Courts across the country continue to rule that Medicare Advantage Plans (MAP or MAO) are enforceable and shall be entitled to double damages if not repaid in third party liability situations.  The trial bar has been aware of this significant exposure since 2016 when…

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Rawlings, no Mother Theresa

ERISA Recovery Giant George Rawlings Chronicled in Article Entitled “Bounty hunter George Rawlings may be the richest Kentuckian you’ve never heard of”. Synergy’s Director of Lien Resolution, Dave Place is quoted in the article as saying that Rawlings is “no Mother Theresa”. To read the article, go to https://www.courier-journal.com/story/news/2018/04/05/insurance-bounty-hunter-george-rawlings/1035929001/ Another article about Rawlings “Way” was…

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Cutting Through the Alphabet Soup of Public Benefits

What happens when someone suffers a serious or catastrophic personal physical injury causing permanent disability? Do they get the proper counseling regarding the form of the settlement so as to protect their current assets, preserve public benefits and safeguard the physical injury recovery? Will the recovery be sufficient to pay for all of the victim’s…

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TESTIMONIALS

"I just want to thank Synergy for their great work in getting a health insurance lien resolved. The health insurance company refused to reduce their lien a penny from a motorcycle accident involving my client who was not wearing a helmet, a fact that would have hurt our award in front of a jury. Synergy put tremendous pressure on this company, and after months of bombarding this insurance company with statutory requests and threats, they were able to get them to give in and reduce the lien significantly. The cost was minimal in relation to the hard work they put in, and the savings my client received. Client was very happy, and it allowed me to close out a case that I had resolved over 6 months before. Keep them in mind if you are dealing with a smug insurance adjuster who felt confident he would not have to reduce a lien, like I was dealing with. Thank you very much Synergy."

Jeffrey A. Adelman, Esq.
Adelman & Adelman, P.A.

“This service is tremendous, and Synergy Lien Resolution Services is fantastic to work with. All of our cases will be sent through this process.”

David Eaton, Esq.
Eaton & Tirella

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