The Real Cost of MSP Mistakes
Learn why ignoring MSP compliance can be costly, how common mistakes expose your firm to liability, and best practices to protect clients and reduce risk.
Category: Medicare Compliance
Understanding Medicare Compliance in Personal Injury Settlements
Medicare compliance is a required part of personal injury settlements. Learn how the MSP affects conditional payments, future medicals, and what law firms must do to reduce risk.
Reflections of a Medicare Secondary Payer Compliance Attorney Turned Recent Medicare Beneficiary
A longtime Medicare Secondary Payer compliance attorney reflects on becoming a Medicare beneficiary and the lessons this experience offers to personal injury lawyers. Her story provides valuable insight into how MSP obligations impact injured clients.
Why Medicare Conditional Payments and Advantage Plan Liens Matter More Than Ever
A practical guide for trial lawyers on handling Medicare conditional payments and Medicare Advantage Plan liens to protect client recovery and reduce firm risk.
Why Coordination of Benefits Between TRICARE for Life, VA, Medicare, and PI Settlements Matters More Than Ever
Understanding how TRICARE, VA, and Medicare benefits interact in personal injury settlements is essential. Proper coordination prevents duplicate recovery demands, coverage issues, and financial risk for clients and law firms.
To Outsource or Not? Deciding Which Liens Require Expert Help
For personal injury firms, deciding which liens to outsource versus resolve in-house can make or break client recoveries. Complex liens like Medicare, ERISA, and Medicaid often demand expert help, while smaller or local liens may be managed internally.
The Ethics of Outsourcing Lien Resolution: What to Know
Personal injury cases don’t end at settlement—they end when liens are resolved. But lien resolution is complex, technical, and risky to handle in-house. Increasingly, firms outsource this work, raising an important question: is it ethical? According to ABA Formal Opinion 08-451 and state bar guidance, the answer is yes—when done properly. Attorneys must supervise outsourced work, protect confidentiality, and ensure fees are reasonable. Done right, outsourcing lien resolution maximizes client recovery, reduces malpractice risk, and strengthens trust. This blog unpacks the ethical framework, key state rules, and why partnering with specialists benefits both clients and firms.
Medicare Advantage Plans: Resolving the Hidden Lien
Resolving Medicare Advantage (MAO-Part C) liens is a critical but often overlooked step in protecting personal injury settlements. Unlike traditional Medicare, MAO plans operate independently, and CMS does not provide notice of their payments. Failure to uncover and resolve these hidden liens can expose attorneys to aggressive enforcement actions, including double damages under the Medicare Secondary Payer Act. From Humana v. Western Heritage to the impact of the PAID Act, this blog explains how to identify MAO coverage, manage lien obligations, and protect both client recoveries and your firm. Partnering with lien resolution experts ensures compliance and prevents costly mistakes.
Why Lien Resolution Isn’t Your Firm’s Core Competency—and Why Outsourcing Matters
Personal injury attorneys thrive in the courtroom, not in the weeds of lien resolution. Yet firms that keep lien resolution in-house often face lost time, financial risk, and diminished client outcomes. From navigating Medicare, Medicaid, and ERISA liens to negotiating with aggressive recovery vendors, this work requires specialized expertise. By outsourcing lien resolution, firms can protect client recoveries, avoid ethical pitfalls, and free up resources to focus on advocacy and trial preparation. Learn how partnering with experts ensures compliance, efficiency, and stronger results for your clients.