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Navigating ERISA Plan Subrogation and Reimbursement: Strategies for Reductions

Strategy

Navigating the intricacies of subrogation and reimbursement for ERISA-governed health plans demands a comprehensive understanding of statutory frameworks, plan documentation, and pertinent case law. Attorneys representing clients facing such liens must employ meticulous strategies to effectively negotiate reductions. Reducing these …

Advanced Lien Resolution: Medicare, Medicaid, ERISA, and Military Liens

SLRS

Introduction

Effective lien resolution is pivotal in personal injury cases. Liens—claims from healthcare providers, insurers, or government agencies against a plaintiff’s settlement—can significantly impact the net recovery. Understanding and managing these liens is crucial for maximizing the client’s recovery and …

To Outsource or Not: Which Lien Type Makes Sense

SLRS

The decision to outsource lien resolution is pivotal in a personal injury practice as it can significantly improve both the efficiency of the firm and financial outcome of a client’s case. With varying complexities and regulatory requirements, understanding which healthcare …

Effective ERISA Lien Reduction Strategies

ERISA

Navigating ERISA liens can be a daunting task, given the complexity of the Employee Retirement Income Security Act (ERISA) and its impact on self-insured health plan reimbursement. Although a comprehensive exploration of ERISA is beyond this blog, understanding some key …

Medicare Advantage Plans: Resolving The Hidden Lien

Medicare Advantage

In our previous blog, we tackled the Medicare conditional payment resolution process. However, if your client, during treatment for their injuries, switched to a Medicare Advantage Plan (MAO-Part C), the resolution process might not be over. Here’s why: While you …

Resolving Medicare Conditional Payment Obligations

Correctly navigating Medicare’s conditional payment resolution process is critical for personal injury attorneys, given the complex legal framework and the substantial risks involved in failure to reimburse. Under the Medicare Secondary Payer Act (MSPA), the Centers for Medicare & Medicaid …

Lien Resolution in a Nutshell

SLRS

In the complicated world of personal injury practice, lien resolution is a pivotal yet often daunting aspect of the resolution process for cases. For trial lawyers, the task of the resolution of various liens can be both challenging and crucial …

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