Personal Injury Attorney Sued by ERISA Plan for Funds in Attorney’s Possession
Self-funded ERISA plans are becoming more and more aggressive about asserting their reimbursement rights when one of their members has settled a pi claim.
CUTTING EDGE INDUSTRY THOUGHT LEADERSHIP INSIGHTS
Synergy’s blog brings you the industry’s foremost thought leadership InSights on matters of healthcare lien resolution and Medicare Secondary Payer Compliance. Visit often to discover helpful InSights on important lien resolution compliance issues.
Outsourcing of Lien Resolution for Personal Injury Law Firms
You might ask yourself, why hire experts to assist with outsourcing lien resolution when I can do it myself.
Gallardo v. Marstiller: Medicaid Liens-Undoing of Ahlborn
On June 6th, 2022, the United States Supreme Court decided in a 7-2 decision to allow Florida Medicaid, pursuant to Section 409.910 of the Florida Statutes, to recover its lien from all medical damages past and future.
Hospital Liens and the Reasonable Value of Care
The “reasonable value” of healthcare is an issue throughout our entire system and there’s no definition of what is “reasonable value”.
Resolution of Part C Medicare Advantage (MAO) Liens White Paper
Free Download: Medicare Advantage Liens Whitepaper
ERISA Plan Denied Temporary Restraining Order, No Imminent Harm
December 6, 2021 By: Teresa Kenyon, Esq. In HMS Holdings LLC v Ted A Greve & Associates P.A. et al, 2021 WL 5163308, an ERISA self-funded health plan was denied a temporary restraining order (TRO) on settlement funds. The court found that the health plan did not present sufficient evidence to satisfy all necessary requirements […]
What Should You Do About Possible Health Insurance Liens?
August 12, 2021 Teresa Kenyon, Esq. When handling a third-party liability case and you know your client had health insurance that paid the medical expenses, should you check to see if there is a lien interest on the settlement funds? Or maybe you have settled a case and you just received a notice letter from […]
Hospital “Liens” vs. “Debts”: A Distinction with a BIG Difference
May 13, 2021 Michael Walrath, Esq. Introduction Plaintiffs’ lawyers largely understand settlement proceeds which are subject to a claim of lien must be protected in trust, even against the client’s interests or wishes. An attorney may not serve as the “sole arbiter” of a lien dispute, take it upon herself or himself to decide the […]
Hospital Liens Carry Ethical and Legal Obligations
April 22, 2021 Michael D. Walrath, Esq. Direct provider “liens” against settlement proceeds have teeth, whether hospital or physician liens, statutory or contractual. The various positions of state bar associations on these issues, and the limited law delineating them, have historically been ever shifting and evolving but two things are clear. Liens must be released […]