Medicare Gives Refunds? How Can My Client Get One?
By Director of Lien Resolution
Repaying Medicare for conditional payments is a necessary but unpleasant process which can result in a greatly reduced net recovery or no recovery at all for an injured Medicare beneficiary. The Medicare Secondary Payer Statute …
Will Obamacare End ERISA’s Subrogation Tyranny?
By Synergy’s Director of Lien Resolution Services
In the wake of the disastrous holding in U.S. Airways v. McCutchen, 569 U. S. (2013) plaintiffs and their attorneys are crying out for an end to the Draconian tyranny of self-funded …
Synergy out flanks Rawlings and reduces self-funded ERISA claim by 50%
This case involved a self-funded ERISA plan participant who was injured in a motor vehicle accident. The plaintiff was injured when the car in which he was riding was rear-ended by the tortfeasor. The plaintiff incurred significant injuries which resulted …
What In The World Is FEHBA And How Do I Deal With Their Reimbursement Claim?
By Director of Lien Resolution
The Federal Employees Health Benefits Act (FEHBA) of 1959 (5 U.S.C. 8901 et seq.) is the largest employer-sponsored group health insurance program in the world, covering more than 8 million federal employees, retirees, former …
Lien Res Success Story – Synergy use Medicare appeal process to secure a 100% reduction and $16,019.73 refund from MSPRC
Synergy successfully employed the Medicare appeals process and obtains a 100% reduction of Medicare’s Final Demand. This case involved a Medicare beneficiary who was injured in a motor vehicle accident. The beneficiary suffered back injuries as well as injuries to …
Breaking Down Florida’s New Proposed Bar Rule on Lien Resolution Outsourcing
Recently there has been some confusion caused by the Florida Bar introducing subsection (E) to Rule 4-1.5(f)(4) and its application to non-lawyer lien resolution companies. Subsection (E) was approved by the FL Bar Board of Governors at their meeting on …
Synergy reduces self-funded ERISA plan by over 70% for a savings of $85,955.02
This case involved a Virginia plaintiff who was injured when a shower chair collapsed. The plaintiff had a pre-existing hip injury which involved an implanted prosthetic. The plaintiff retained the services of an attorney and was able to obtain $525,000.00 …
Synergy reduces AARP Medicare Advantage repayment by 95% for a savings of $49,000.00
This case involved an elderly plaintiff who had Medicare Part C coverage through his AARP Medicare Advantage plan. The plaintiff was injured when he was walking through a parking lot and was forced to jump out of the way of …
Synergy resolves 8 year conflict with Medicare and obtains complete waiver of their claim
This case involves a deceased Medicare beneficiary who was injured and
eventually died as a result of medical malpractice. The date of the malpractice was December 1999, the case settled in 2003. Counsel for the heir began disputing and negotiating …
Back to the Future: U.S. Airways v. McCutchen
On April 16, 2013, the United States Supreme Court clarified how equitable principles interact with the plan language of self-funded ERISA health plans. The question presented to the Court was: Should the principles of “common fund,” often referred to as …
