When a personal injury case settles, the fight isn’t always over. Unresolved healthcare liens can delay client disbursements, create ethical risks, and drain law firm resources. Discover why post-resolution lien chaos threatens both clients and trial lawyers—and how proactive lien resolution safeguards recoveries, compliance, and peace of mind.
Navigating the intricacies of subrogation and reimbursement for ERISA-governed health plans demands a comprehensive understanding of statutory frameworks, plan documentation, and pertinent case law.
Settlements involving Medicare beneficiaries require additional scrutiny to ensure compliance with the MSP Act.
July 28, 2021 Rasa Fumagalli JD, MSCC, CMSP-F Introducing “Since You Asked,” Synergy’s first in a series of columns addressing MSP compliance questions in the area of workers’ compensation. Question: “My client is settling her case and does not know what to do with her Workers’ Compensation Medicare Set-Aside (WCMSA) funds. I’m not quite sure […]
July 8, 2021 Rasa Fumagalli JD, MSCC, CMSP-F Most attorneys are well aware of the need to resolve Medicare’s conditional payments in connection with a client’s settlement. This obligation stems from the Medicare Secondary Payer (MSP) Act, 42 U.S.C. § 1395y(b)(2)(A)(ii), which prohibits Medicare from making payment for medical services when “payment has been made […]