Synergy Blog

Lien Res Success Story – Synergy’s flat fee Medicare Conditional Payment Service reduces repayment obligation by 93%

Synergy’s flat fee Medicare Conditional Payment Audit and Verification service reduces the repayment obligation for the client of one of our premier Virginia customers by over 93%.  This case was referred to Synergy by one of our long standing premier clients who fully outsources all of their Medicare Conditional Payment resolution to us.  In this case, the Medicare beneficiary was injured in a motor vehicle accident wherein he suffered minor injuries.  The plaintiff retained counsel and began prosecuting a claim against the tortfeasor.  The case eventually settled, but Medicare continued to include unrelated care in their Conditional Payment claims summary.  Synergy worked with plaintiff’s counsel, and without any unnecessary delay, was able to have the unrelated charges removed and a Final Demand issued.   The result was a savings of $7,564.11 which added 60% more to the plaintiff’s net recovery.


When we face difficult post resolution issues, we turn to Synergy. They provide us with the necessary expert advice about Medicare compliance, preservation of public benefits, lien resolution and settlement planning. We don’t need to go anywhere else, they are the experts when it comes to the case after the case. All of those sticky issues, they easily navigate and let us focus on other issues.

Andrew Knopf
Knopf Bigger

"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.

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