Ten years after a truck hit him on a group bike ride, Synergy founder Jason Lazarus revisits the personal injury case he negotiated himself, from a six figure medical lien to a settlement plan built while recovering from facial reconstruction. He connects that experience to a bigger issue facing firms today: rising MSP compliance pressure and staff hours lost to administrative lien work. His conclusion: keep case selection, negotiation, and client relationships in house, and hand off lien identification and Medicare compliance to specialists.