This is a case wherein the Medicare beneficiary was injured when he slipped and fell at an event in Palm Beach. The elderly plaintiff sustained modest injuries with medical damages less than $10,000.00. The plaintiff hired counsel who made a successful claim against the responsible parties. However, when plaintiff’s counsel attempted to resolve Medicare’s claim for repayment of conditional payments he was confronted with a repayment demand of $29,797.85. The elderly plaintiff had pre-existing injuries and Medicare was including treatment for these unrelated items in their repayment demand. The plaintiff’s attorney attempted to work this out with MSPRC (Medicare’s recovery contractor) but was unsuccessful, despite verbal confirmation from MSPRC that their demand would be corrected and reduced. Plaintiff’s counsel then attempted to have this matter resolved by appealing the Final Demand, but he was again unsuccessful. At this point Synergy Lien Resolution Services was brought in to assist. Synergy filed a second level appeal with Maximus Federal Services, and in less than ninety (90) days the demand amount was reduced. The final result was a reduction of the repayment demand by 93% and a savings of $27,811.84 for the injured plaintiff.
