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Medicare’s Procurement: Do Nothing, Lower Your Lien

In All Medicare lien resolution cases (*Not including Workers’ Compensation MSAs) the MSPRC will automatically reduce its Medicare lien if you do just one simple thing.  When you report settlement to the MSPRC you must give your costs and fees.  In turn, the MSPRC will reduce its conditional payment amount by about 33 – 42 percent for its Final Lien Demand.

First, the contingent fee of 1/3rd will lead to a 1/3rd reduction (or 33 percent) in the Medicare lien amount.  Then, your client’s costs will lead to another reduction in the Medicare lien amount.  At Lien Resolution Services, LLC, we generally see the costs lead to an additional 0 – 9 percent reduction.  The MSPRC generally requires an itemization of these costs.

It’s that simple.  Reduce your Medicare lien amount by appropriately (and timely) notifying the MSPRC of settlement.  If you do not, you may run into the Conditional Payment Notice situation, where costs/fees may not go into the reduction.  Remember, it takes just 2-3 weeks to get a Final Lien Demand – the MSPRC does not hesitate when it can recoup funds!

If you have any questions on this process, or would like lien resolution assistance, please contact us.

Ryan J. Weiner
Co-Founder Lien Resolution Services
This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.

About Ryan J. Weiner

Co-Founder of Lien Resolution Services, LLC, a national healthcare lien resolution firm. Our goal is to assist in the fair administration and resolution of healthcare liens on personal injury cases. Please visit our website for more information: www.lienresolutionusa.com.

One comment on “Medicare’s Procurement: Do Nothing, Lower Your Lien

  1. […] If you report the case as Workers’ Compensation there are certain Medicare Set-Aside (“MSA”) consequences.  Liability is relatively straight forward and leads to the default processes.  No-Fault is often reported concurrent to Liability (meaning both are open for your file) and has added processes to close the file.  No-Fault also has special rules – specifically, the MSPRC does not follow 42 CFR 411.37 and does not apply the Medicare Procurement Formula. […]

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