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Medicare Final Demand Isn’t the End of the Line

When a Medicare Final Demand arrives in the mail or your inbox, the clock starts ticking. Under the Medicare Secondary Payer recovery process, payment must be made within 60 days of the Final Demand letter to avoid interest on the

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

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

Understanding Medicare Conditional Payments: Timelines, Final Demands & Your Obligations

Medicare conditional payment resolution poses substantial risk for trial lawyers and paralegals when timelines slip or deadlines get missed. The Centers for Medicare and Medicaid Services (CMS) publishes formal response standards, but real-world experience may not match those expectations. Knowing

Understanding Medicare Compliance in Personal Injury Settlements

If your client is on Medicare, Medicare compliance must be part of your resolution strategy. Failing to address the Medicare Secondary Payer Act (MSP) can trigger denials of future care, government recovery actions, or worse, personal liability for your law

Why Medicare Conditional Payments and Advantage Plan Liens Matter More Than Ever

If your firm is settling personal injury cases, Medicare conditional payments and Medicare Advantage Plan (MAO) liens aren’t just red tape, they’re legal minefields. Overlooking them could cost your client and your firm big.

Here’s what you need to know

Why Coordination of Benefits Between TRICARE for Life, VA, Medicare, and PI Settlements Matters More Than Ever

In the world of personal injury litigation, where settlements can make or break a client’s future well-being, coordination of benefits is no longer a side issue, it’s central to protecting your client’s recovery. For veterans, military retirees, and their families,

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