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
Demystifying Medicare Set-Asides: What Every Legal Professional Should Know
Demystifying Medicare Set-Asides: What Every Legal Professional Should Know
What is a Medicare Set-Aside and why should legal professionals be concerned about them? It all centers around the questions of Medicare’s future interests. That’s where Medicare Set-Asides (MSAs) come in.
Pitfalls in MSP Futures Compliance and How to Avoid Them
When you represent a Medicare beneficiary in a personal injury case, doing nothing about Medicare Secondary Payer (MSP) futures compliance is not a defensible option. Ignoring the risks can lead to denied care for your client and exposure to legal
The Real Cost of MSP Mistakes
Why Medicare Compliance Can’t Be Ignored
If you represent injury victims who are Medicare eligible, strict Medicare Secondary Payer Act (MSPA) compliance is not an option. The risks are real, and the consequences can be serious. Missteps don’t only harm
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
Reflections of a Medicare Secondary Payer Compliance Attorney Turned Recent Medicare Beneficiary
A significant portion of my legal practice has focused on workers’ compensation insurance defense. Although this area is rich with Medicare Secondary Payer (MSP) compliance guidance from the Centers for Medicare & Medicaid Services (CMS), it has often been misunderstood
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,
To Outsource or Not? Deciding Which Liens Require Expert Help
For personal injury firms, lien resolution is one of the most time-consuming and risk-heavy aspects of personal injury practice. Every lien has the potential to cut into your client’s net recovery and expose your firm to liability if mistakes are
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
