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Individual and Mass Tort Specialists

When personal injury cases settle, often the claimant and the attorney must repay Medicare or Medicaid for the injury-related medical expenses that were already covered by Medicare or Medicaid after the injury but before the settlement.

The Lien Resolution Group will resolve these claims and liens efficiently and globally by working directly with The Centers for Medicare and Medicaid Services (CMS) in addition to each individual state agency charged with administrating Medicaid.

The Lien Resolution Group will offer the client solutions for maintaining current benefits such as Medicare set-asides (MSA) for Medicare beneficiaries and special needs trusts (SNT) for Medicaid and SSI beneficiaries. (more)

 

Medicare
Medicare is often the initial payer of medical, hospital, and other medically-related expenses for personal injury plaintiffs. What distinguishes Medicare from other health care insurers, including Medicaid, is federal regulations allowing Medicare what has been commonly called subrogation and lien rights believed to be far superior to any other interest on a settlement or judgment proceeding. (more)

Medicaid
Medicaid is a joint federal-state program that provides health insurance coverage to certain categories of low-income individuals, including people with disabilities. Medicaid was created to help low-income individuals. There is a cap on both income and assets to receive Medicaid benefits. (more)

 

Medicare Set-Asides
If a Worker’s Compensation case, is in excess of $25,000, intended to compensate for future medical expenses and the plaintiff is either a recipient of Medicare or has reasonable expectation of being on Medicare within 30 months of the settlement than Medicare’s interest must considered with the “set-aside” of funds for future medical needs which otherwise would be paid by Medicare. (more)

Set-AsidesIf a Worker’s Compensation case, is in excess of $25,000, intended to compensate for future medical expenses and the plaintiff is either a recipient of Medicare or has reasonable expectation of being on Medicare within 30 months of the settlement than Medicare’s interest must considered with the “set-aside” of funds for future medical needs which otherwise would be paid by Medicare.

 

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Regional offices:  New York - Minneapolis - Los Angeles - Tampa