Medicare Lien Resolution

The Medicare Secondary Payer Act (“MSP”) states that injury-related benefits paid by Medicare are conditional in the sense that those benefits must be reimbursed to Medicare when a third party recovery occurs. The benefits for non-compliance can be steep and can affect the injured party and the injured party's attorney, as well as the defendant and defendant’s attorney. LitPRO ensures that Medicare’s recovery rights are adhered to while also ensuring that Medicare is only reimbursed for injury related care so that the maximum amount of recovery flows to the injured party. This is accomplished via traditional MSP resolution paths or global resolution programs negotiated directly with Medicare for specific mass tort litigations.

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The first is for in-house departments not only to be vastly more efficient in their deployment of the traditional combination of internal labour and external law firms, but also to ensure that work is undertaken, where appropriate, by less costly suppliers of legal services, such as legal process outsourcers and paralegals.

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Richard Susskind