INDIVIDUAL LIEN SOLUTIONS

S3’s single event team focuses on identifying and resolving Medicare, Medicaid,Private/ERISA and VA liens.

INDIVIDUAL LIEN SOLUTIONS

MEDICARE LIENS

The Medicare Secondary Payer (MSP) provision of the Social Security Act gives Medicare the right to recover its interest on a settlement, judgment or award where there is found to be a liable third party. The MSP statute gives the parties and entities involved in a lawsuit an affirmative duty to:

  1. Notify Medicare when it may have an interest in a lawsuit
  2. Satisfy the interest
  3. Make Medicare the first payee in the lawsuit

Failure to comply can subject all parties, including attorneys, to double damages.

Resolving Medicare’s past interest can be time consuming, but S3’s Single Event process ensures compliance and expedites the settlement process. At S3, we:

  1. Identify whether the claimant is a Medicare beneficiary
  2. Notify Medicare of the lawsuit and detail the exact injuries sustained by the claimant
  3. Close duplicate files with the Centers for Medicare and Medicaid Services (CMS)
  4. Audit and Dispute claims itemizations
  5. Negotiate procurement offsets pursuant to 42 C.F.R. 411.37
  6. File appeals, waiver requests, and compromise requests as needed

MEDICAID LIENS

S3’s Single Event team is poised to handle Medicaid claims in all 50 states. We offer a full range of Medicaid lien resolution services including:

  1. Identify current benefits
  2. Research all potential Medicaid liens including supplemental and Managed Care
  3. Audit and Dispute claims itemizations
  4. Negotiate reductions pursuant to applicable state law
  5. Draft Ahlborn motions as needed

PRIVATE/ERISA LIENS

ERISA liens can often present large hurdles to a settlement if not properly addressed. S3’s highly skilled Single Event team will review all applicable plan documents to determine the validity and strength of a subrogation and will assist with all of the following to yield the maximum reduction:

  1. Determine the need to place a health plan on notice
  2. Audit and Dispute claims itemizations
  3. Obtain and Review all relevant plan documents
  4. Determine the funding status of ERISA plans
  5. Research applicable state or federal law
  6. Apply negotiation strategies from our ERISA Playbook and fight for lien reductions for your clients

VA, TRICARE AND INDIAN HEALTH SERVICES LIENS

Each governmental agency has unique policies and procedures, and S3 is well-versed in all of them. Our Single Event team offers complete military and governmental lien resolution services including:

  1. Navigate each agency’s respective platform to obtain claims itemizations
  2. Audit and Dispute unrelated charges
  3. Negotiate reductions when applicable

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Will Shapiro

President/Founder

11211 Taylor Draper Ln, Austin, TX 78759

Website: https://www.lienteam.com

512-382-5100 (phone)

512-382-5955 (fax)

info@lienteam.com

West Coast Office:

101 W Broadway, #220, Oakland, CA 94607

 

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