Lien Res Success Story – Synergy use Medicare appeal process to secure a 100% reduction and $16,019.73 refund from MSPRC
Synergy successfully employed the Medicare appeals process and obtains a 100% reduction of Medicare’s Final Demand. This case involved a Medicare beneficiary who was injured in a motor vehicle accident. The beneficiary suffered back injuries as well as injuries to …
Breaking Down Florida’s New Proposed Bar Rule on Lien Resolution Outsourcing
Recently there has been some confusion caused by the Florida Bar introducing subsection (E) to Rule 4-1.5(f)(4) and its application to non-lawyer lien resolution companies. Subsection (E) was approved by the FL Bar Board of Governors at their meeting on …
Synergy reduces self-funded ERISA plan by over 70% for a savings of $85,955.02
This case involved a Virginia plaintiff who was injured when a shower chair collapsed. The plaintiff had a pre-existing hip injury which involved an implanted prosthetic. The plaintiff retained the services of an attorney and was able to obtain $525,000.00 …
Synergy reduces AARP Medicare Advantage repayment by 95% for a savings of $49,000.00
This case involved an elderly plaintiff who had Medicare Part C coverage through his AARP Medicare Advantage plan. The plaintiff was injured when he was walking through a parking lot and was forced to jump out of the way of …
Synergy resolves 8 year conflict with Medicare and obtains complete waiver of their claim
This case involves a deceased Medicare beneficiary who was injured and
eventually died as a result of medical malpractice. The date of the malpractice was December 1999, the case settled in 2003. Counsel for the heir began disputing and negotiating …
Back to the Future: U.S. Airways v. McCutchen
On April 16, 2013, the United States Supreme Court clarified how equitable principles interact with the plan language of self-funded ERISA health plans. The question presented to the Court was: Should the principles of “common fund,” often referred to as …
Vioxx Settlement Recipients May Be On Their Own For ERISA Lien Resolution
By Director of Lien Resolution
Families and individuals injured by Vioxx may still have lien claims to resolve despite the Lien Resolution Administrator’s attempt to manage these claims. In a December 4, 2012 ruling the United States District Court, E.D. …
Understanding the MSPRC Process
By Tal A. Wollschlaeger
Medicare Lien Analyst
Everybody expects to get paid back one way or another. Whether someone owes you money because you bought him or her lunch when times were tough or you owe money on your credit …
ERISA: Put New Teeth Into Plan Document Requests with 1024(b)(4)
One of the keys to properly defending against an asserted subrogation or reimbursement claim from an ERISA plan is making requests to the plan administrator. ERISA places certain responsibilities upon the plan administrator to assist with the proper management of …
From Roger Baron: 8th Circuit Exonerates Law Firm Doggedly Pursued for Liability on ERISA Reimbursement Claim
The 8th Circuit Court of Appeals handed down its decision in Treasurer, Trustees of Drury Industries v. Sean Goding, No. 11-2885. This is a situation where the ERISA plan doggedly pursued the law firm which had represented the …
