Resolving Medicare Conditional Payment Obligations

September 8, 2025

Resolving Medicare conditional payment obligations is a critical step in protecting both attorneys and their clients. Under the Medicare Secondary Payer Act (MSPA), the Centers for Medicare & Medicaid Services (CMS) can recover conditional payments directly from attorneys, creating substantial financial and legal risks if obligations are mishandled. From understanding the difference between Conditional Payment Letters and Final Demands to navigating appeals, compromises, and waivers, attorneys must follow precise steps to ensure compliance. This blog breaks down common pitfalls, case examples, and strategies for effective resolution, while also highlighting how partnering with a lien resolution company can safeguard recoveries and prevent costly errors.

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Medicare MSP Compliance

When Is Medicare At Fault

July 30, 2024

When you visit a doctor, you expect a certain level of care. This comes from both the doctor and your health care coverage provider such as Medicare. Unfortunately, patients do not always receive the care they deserve, but when this happens, who is at fault? Is it the doctor’s office, or is it Medicare?

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MSP

Medicare Compliance: Reducing MSP Liability for your PI Firm

July 30, 2024

When representing a Medicare beneficiary, personal injury law firms should prioritize compliance with the Medicare Secondary Payer Act (MSP). Inadequate compliance processes can lead to severe consequences, including government actions against the firm. This blog post outlines the risks and best practices related to MSP compliance to safeguard both your firm and your clients.

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