Synergy successfully employed the Medicare appeals process and obtains a 100% reduction of Medicare’s Final Demand. This case involved a Medicare beneficiary who was injured in a motor vehicle accident. The beneficiary suffered back injuries as well as injuries to both his hand and foot. The injured beneficiary made a claim against the negligent tortfeasor and recovered a policy limits settlement in the amount of $25,000.00. Medicare asserted
a lien for the conditional payments they had made in the amount of $30,801.35. After the statutory reduction for procurement costs Medicare demanded repayment of the entire net settlement. The injured beneficiary received zero. Plaintiff’s counsel made the payment to MSPRC and engaged Synergy Lien Resolution Service. After submitting consecutive appeals
Synergy was successful in having MSPRC agree to reduce the demand amount to zero ($0.00) and issue a refund in the amount of $16,019.73. Had Synergy not aggressively used the Medicare appeals process, the injured beneficiary would have received nothing out of the settlement.