Synergy Blog

Synergy’s tenacious use of MSPRC appeal process results in a vacated appeal and a refund of $1,316.25 to the beneficiary

This case involved a Medicare beneficiary who was injured in June 2010 when her  vehicle was struck violently in the rear by the third party forcing into the car in front of her.  The plaintiff incurred medical damages in excess of $6,800 for injuries to her chest and shoulder.  The plaintiff was able to recover $28,000.00 from the tortfeasor’s Bodily Injury policy and MSPRC on behalf of Medicare asserted a Final Demand in the amount of $4,862.32.  Counsel for the beneficiary engaged Synergy Lien Resolution Service to resolve the lien asserted by MSPRC as their efforts had proven fruitless.  MSPRC had included unrelated charges in their lien claim, but despite the attorney’s efforts MSPRC would not remove the charges.  In order to avoid the accumulation of interest the plaintiff paid the MSPRC Final Demand and Synergy appealed, via Redetermination.  Though MSPRC was initially prevailed  in the Redetermination and was able to keep the unrelated charges on their lien claim Synergy tenaciously continued to fight.  Synergy’s Lead Resolution Specialist requested that MSRPC vacate that ruling and re-examine the medical evidence.  Within thirty days MSPRC  agreed to:  vacate the order, reduced their demand by 27%, and began processing a refund in the amount of $1,316.25 (the full amount of unrelated charges).   

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“Synergy is our guiding light for deferring our contingent legal fees and planning for retirement. The lawyers at Panter Panter & Sampedro, myself included, have been working with them for over ten years using different methods to defer comp and plan for retirement.”

Brett Panter
Panter, Panter & Sampedro

"I don't think I've directly said "thank you" for helping us with Bridgett’s case. We sent the reduced payment to Medicaid and called Bridgett's mom to tell her approximately how much money was going to be left for Bridgett and she broke down over the telephone. Given only $25k of insurance and a $850k medical bill from the hospital she didn't think Bridgett would ever see a penny."

Tom L. Copeland
Jeffrey Meldon & Associates, P.A.

Understanding Structured Settlements and Medicare Set-AsidesThird Thursday Webinar Series

The parties agree that a Medicare Set-Aside is needed, now what? In this month's webinar, presented by Synergy CEO, Jason D. Lazarus, you will learn about the process basics for setting up a set aside including MSA allocations, funding mechanisms for set-asides, post-settlement administration as well as an overview of the process to make sure you close the case compliantly.

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