Burns White advises as to when Medicare conditional payments might be an issue, and we perform Medicare Lien Verifications to determine what, if any, conditional payments were made by Medicare.
Once we receive a Medicare Lien Verification, we have our Lien Attorney and nurse allocators review the diagnostic coding in order to determine which expenses were related to the work injury and which were not. We bring any non-related costs to Medicare’s attention, and we demand that they be excluded from the conditional payments that are to be reimbursed from the settlement proceeds.
Further, we offer to negotiate the amount of the Medicare lien based on the amount of the lien and the amount of the settlement. We have found that Medicare might accept a lower amount as full and final satisfaction of the lien. This can reduce costs for our clients.