Synergy Medicare Conditional Payment Services | |
| Medicare Audit & Verification | Tier 1 - MSA Consultation, Waiver & Acknowledgement |
| Our service includes the audit and verification of conditional payments for cases that originate from a specific personal injury incident. The process includes reporting to the Centers for Medicare and Medicaid Services, the audit and dispute of Conditional Payment Summaries, the request for Final Demand, and this service includes 1st & 2nd level administrative appeals. | Settlement < $100,000 = $750.00 Settlement > $100,000 = $1,250.00 $500.00 Advance Fee* |
| Medicare Waiver & Compromise | Medicare Waiver & Compromise |
| Process includes the application for a compromise or waiver to both the Benefits Coordination and Recovery Center (BCRC) as well as the Centers for Medicare and Medicaid Services (CMS) and negotiation of reductions through final resolution. | 15% of Savings |
Synergy Lien Resolution Services | Synergy Medicare Conditional Payment Services |
| Resolution of Medicaid Liens | Resolution of Medicaid Liens |
| Process includes the reporting to the appropriate state agency, bill auditing for unrelated care and full resolution of liens. | 15% of Savings $500.00 Advance Fee* |
| Resolution of Private Health Insurance Liens & ERISA Plans | “No MSA”/MSA Evaluation Letter |
| Process includes the reporting, bill auditing for unrelated care and full resolution of liens for: ERISA, FEHBA, Medicare Part C (Medicare Advantage), Private and Supplemental Insurance health plans. | 15% of Savings $500.00 Advance Fee* |
| Resolution of Military Health Benefit Plan Liens | Resolution of Military Health Benefit Plan Liens |
| Process includes the reporting of possible liability to the Department of Veterans Affairs (VA) and/or TRICARE, bill auditing for unrelated care, application for waivers/reductions and full resolution of liens. | 15% of Savings $500.00 Advance Fee* |
| Resolution of Provider & Hospital Liens | Resolution of Provider & Hospital Liens |
| Process includes bill auditing for unrelated care and full resolution of the claim through negotiation/compromise until resolution. | 15% of Savings $500.00 Advance Fee* |
| *Advance fee is due upon intake If litigation is needed, the pricing above is inapplicable and services will not be provided by Synergy Settlement Services. Synergy Settlement Services is not a law firm. | $50.00 |
