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How to Build Medicare Compliance in a PI Firm

Medicare compliance sits at the center of modern personal injury practice operations. Trial lawyers and paralegals face real exposure when Medicare interests go unaddressed or get handled incorrectly. The risk is not abstract. Medicare can assert direct recovery rights, including

AI Is Coming for Your Client’s Recovery. Here Is How to Fight Back!

Insurance carriers are spending billions on artificial intelligence. The stated goal is faster claims processing and fraud detection. The practical result is something different. AI is being used to systematically undervalue personal injury claims and pressure injured people into accepting …

Medicare Compliance: Best Practices for Personal Injury Firms

Medicare compliance is not optional. It is an obligation that directly impacts your clients and your firm. The Medicare Secondary Payer Act (MSPA) makes Medicare the payer of last resort. That means Medicare must be reimbursed for any payments it

Could a Law Firm Owe Double a Part C Plan Lien?

Law firms handling personal injury cases know they must protect Medicare’s interest when it comes to conditional payments. But fewer realize the steep risk involved when that Medicare claim comes from a Part C Medicare Advantage plan. Under federal law,

Part C: The Hidden Lien That Comes Back Later

You settled the case. Medicare was paid back. The file is closed. Or so you thought.

If your client had a Medicare Advantage Plan, also known as Part C, that “closed” file could come back to haunt you. Part C

FEHBA Plans and the Limits of Lien Reduction: History, Preemption, and Practical Strategy for Trial Lawyers

A core challenge for plaintiff attorneys handling third-party liability cases involving federal employees or retirees is navigating FEHBA (Federal Employees Health Benefits Act) reimbursement and subrogation rights. Unlike state statutory or common-law liens, FEHBA liens are grounded in a federal

How to Avoid Medicare Conditional Payment Mistakes That Delay Settlement

Medicare conditional payments are one of the most common sources of settlement delays, mistakes, and malpractice risk in personal injury litigation. They aren’t optional. They aren’t minor. And the Department of Justice has made it clear: if your firm fails

Post Final Demand Medicare Compromise & Waiver: Better Client Outcomes

When a Medicare final demand hits, the timer starts. Payment is due within 60 days or interest begins to accrue. If you miss that window, the debt can end up with the U.S. Treasury. But for personal injury firms, the

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