Settle Cases Faster & With Confidence

When a Medicaid beneficiary receives compensation from a third-party claim or settlement related to injuries for which Medicaid paid medical expenses, the state Medicaid program has the right to seek reimbursement. Medicaid recovery rights arise under federal law and are administered by individual state agencies within the framework established by the Centers for Medicare and Medicaid Services.

Our team assists attorneys in identifying and resolving Medicaid liens efficiently and accurately. We communicate directly with state Medicaid agencies to verify lien amounts, obtain payment histories, review claims for accuracy, and pursue reductions when permitted under applicable statutes and case law.

By managing the Medicaid lien resolution process from identification through final satisfaction, we help attorneys avoid delays in settlement distribution while ensuring clients remain protected from future recovery actions by the state.

Under the Medicare Secondary Payer Act, Medicare has the right to recover conditional payments made for medical treatment when a beneficiary receives compensation from a third-party claim or settlement. It is the responsibility of the beneficiary and their legal counsel to identify potential Medicare interests, report the claim, and ensure reimbursement rights are satisfied.

Our team works directly with the Centers for Medicare and Medicaid Services and its contractors to identify conditional payments, obtain and review lien amounts, dispute unrelated charges, and secure final demand amounts.

By handling the complexities of Medicare lien resolution, we allow attorneys to close their cases efficiently and distribute settlement funds with confidence that Medicare interests have been properly addressed.

When a personal injury claimant receives medical benefits through a private health insurance plan, the insurer may assert reimbursement rights against any settlement or judgment. Many employer-sponsored health plans are governed by ERISA, which can grant the plan strong contractual rights of recovery through subrogation or reimbursement provisions.

Our team assists attorneys in identifying applicable health plan interests, reviewing plan documents, and communicating directly with plan administrators and recovery vendors. We analyze governing plan language to determine reimbursement rights and negotiate reductions whenever possible.

By managing ERISA and private health insurance liens from identification through final resolution, we help attorneys ensure all obligations are properly satisfied while maximizing the client net recovery.

In many personal injury cases, the initial lien amounts asserted by government healthcare programs can significantly impact the client net recovery. Both Medicare and state Medicaid programs have statutory rights to reimbursement, however in appropriate circumstances these liens may be reduced or compromised based on procurement costs, limited settlement funds, liability disputes, or hardship.

Our company works with attorneys to evaluate opportunities for lien reduction and compromise while ensuring full compliance. We prepare and submit the necessary documentation including settlement details, medical expense allocations, and supporting legal arguments to the appropriate agencies.

By managing the lien compromise process from negotiation through final resolution, we help maximize client recovery and allow attorneys to distribute settlement funds with confidence that all government healthcare interests have been properly addressed.