Medicare Lien Resolution for Wrongful Death

Wrongful death statutes differ from state to state in regard to claiming death-related expenses. Medicare lien resolution is a complex topic in and of itself and can become even more so in wrongful death cases. Some attorneys choose to outsource and work with professionals who specialize in lien resolution services.

Medicare’s Right to Recover

If a person is awarded a settlement in a personal injury case, Medicare has the right to seek reimbursement in the event they have covered that person’s medical expenses.

When someone has survived an accident and filed a personal injury lawsuit, they are responsible for paying back Medicare with part of their settlement or judgment. As an attorney, you can be held liable in the event that your client does not pay Medicare back.

Wrongful Death Cases

For wrongful death cases, Medicare’s right to recover depends on the following:

  1. Whether the beneficiary’s state of residence allows for the recovery of medical expenses in a wrongful death claim
  2. If so, what amount Medicare is entitled to recover against

Some states allow full recovery, whereas it is limited in others. In Florida, Medicare has the right to recover their claim against the beneficiary’s estate, even if the decedent’s survivors are in no way connected to Medicare.

When someone passes away due to another person’s or institution’s negligence or fault, and the decedent was a recipient of Medicare-subsidized health care related to their cause of death, Medicare may require reimbursement from their estate.

The decedent’s child(ren), spouse, or other loved one typically files the lawsuit. Like many people, they may not be aware of the laws governing lien resolution. Often, survivors of a recent tragedy also feel they should not have to use their settlement to repay Medicare for medical expenses incurred by the decedent’s injury leading up to the wrongful death. Sometimes paying back these expenses would leave them with very little, if anything, to compensate for their loss.

As the survivor’s attorney, you are fighting to ensure they get the settlement they deserve. However, all this could be negated if the Medicare lien resolution is not handled properly.

Medicare Lien Resolution Experts

Synergy’s lien resolution group is a full-service lien resolution and compliance firm providing first-rate lien identification and negotiation services. Our expertise allows us to aggressively negotiate the resolution of healthcare liens and personal injury settlements in a way that meets the needs of all parties.

For more information or to schedule a consultation, please submit our contact request form.

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.


"I recently engaged Synergy to assist with a complicated PTD settlement involving a substantial Medicare Set Aside. The claimant’s wife has been providing full time attendant care which is not Medicare covered. The Synergy nurse was able to do a full analysis of non-Medicare covered expenses which far exceeded the value of the MSA analysis performed by the carrier’s contracted MSA provider. The non- Medicare figures became the main focus of the settlement negotiations and more than doubled the value of the case. Although I could estimate the attendant care figures, the nurse added in other items that I would not have routinely considered. I also asked Synergy to evaluate the EC’s MSA as well as their prescription review. Synergy offered insight about the prescription donut hole which I did not have a clear understanding about. Again, their insight and information added a great deal of value to the overall settlement. Not only did I learn from Synergy but was able to educate my clients in the process. These are very complex and complicated areas; I will use Synergy again and again!"

Rosemary Eure
Lancaster & Eure

"Synergy Lien Resolution Services was extremely knowledgeable and effective in assisting to reduce our client's insurance lien. They were 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 the Synergy again in the near future."

Joni Hautamaki
Didier Law Firm

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