Effective ERISA Lien Reduction Strategies
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
The Ethics of Outsourcing Lien Resolution: What to Know
Personal injury law firms live in the courtroom. Their core focus is proving causation, liability, and damages not negotiating with Medicare, ERISA plans, or hospital billing departments. Yet, as every law firm knows, cases don’t truly end at settlement. They
Medicare Advantage Plans: Resolving the Hidden Lien
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
Why Lien Resolution Isn’t Your Firm’s Core Competency—and Why Outsourcing Matters
Personal injury firms excel at what they were built to do: securing justice by proving liability, telling their client’s story, and getting the best possible settlement or verdict. Yet once the dust settles, another challenge arises, resolving liens.
Here’s the
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
The Hidden Cost of Post-Resolution Lien Chaos—and Why Trial Lawyers Can’t Afford to Ignore It
When a hard-fought personal injury case is resolved, trial lawyers and their clients often breathe a sigh of relief. The hard work is over or so it seems. But lurking beneath the surface of every settlement is a potential minefield:
Why ERISA Plan Language Is the Hidden Battlefield in Lien Resolution
When personal injury lawyers hear ERISA, they may think of “troubling” case law like McCutchen. But what is most important when it comes to resolution of an ERISA lien? ERISA plan language! And depending on the plan language,
Navigating ERISA Plan Subrogation and Reimbursement: Strategies for Reductions
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 …
Stop the Leak: How Outsourcing Healthcare Lien Resolution Can Increase Cash Flow Velocity
Let’s talk about something that keeps personal injury attorneys up at night: cash flow. Personal injury firms work hard to win recoveries for clients, but then it’s like a slow drip waiting for those funds to be ready to be …
Advanced Lien Resolution: Medicare, Medicaid, ERISA, and Military Liens
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 …
