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Medicare Lien Verification and Negotiations

Medicare Lien Verification and Negotiation

Medicare Liens

Let us make this process easier for you.

We help our clients understand and negotiate the specific lien that is related to their case for an easy and cost-effective resolution. Let our teams help you settle your cases quickly by utilizing our unique RiskPro® technology and professional services. We have created a fast, cost-effective lien verification and negotiation solution for our clients. For most cases, our clients receive Medicare’s initial analysis and our verification for review within approximately 2 weeks from completion of our referral form. Contact us today for a free consultation with one of our partners.

"Working with the Blackburn Group for the past decade or so has been enormously helpful to us in our plaintiff elder abuse and neglect practice. Many of our cases involve aged clients who have a myriad of health problems, along with the discrete injury or illness which is the basis of our lawsuit against a healthcare facility. Frequently, Medicare’s lien on our client’s recovery is far higher than the cost of the treatment for the injury sued upon. We turn the lien over to the Blackburn Group, and in a matter of weeks, they identify the unrelated charges, and make their successful challenge to the Medicare lien, saving our clients tens of thousands of dollars in many cases. Their help is enormously valuable, both in their thoroughness, and in the quickness of getting the job done. I recommend the Blackburn Group to every elder abuse and neglect lawyer I know.

Stephen O’Neill, Esquire

Tarkington, O’Neill, Barrack & Chong in Santa Rosa, CA

What is a Medicare Lien?

A Medicare lien is created when Medicare pays for medical treatments associated with a personal injury accident, and seeks to recover the costs according to Social Security Act regulations. In these situations, Medicare will pay the medical providers “conditionally" for their services, and then expect reimbursement of the expenses when the case is settled.


In personal injury cases, Medicare, Medicare Advantage, Medicaid and other Medical Insurance liens are required to be paid back after a settlement. Oftentimes, we are able to remove treatments unrelated to your injury, therefore decreasing your lien.

What does Medicare Secondary Payer Mean?

Medicare Secondary Payer (MSP) and associated State Medicaid statutes are the terms generally used when the Medicare and Medicaid programs do not have primary payment responsibility for personal injury cases.

Under the two governing statutes of the Social Security Act, the Medicare and related programs may not pay for medical expenses when a payment “has been made or can reasonably be expected to be made under a workers’ compensation plan, an automobile or liability insurance policy or plan (including a self-insured plan), or under no-fault insurance.” (See CMS Coordination of Benefits and Recovery)

Helpful Links for Medicare Secondary Payer Compliance:

Helpful Links for Medicare Secondary Payer Compliance:

42 U.S.C. §1395y(b)(2)

§ 1862(b)(2)(A)/Section and § 1862(b)(2)(A)(ii)

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