The Paramount Team’s experience navigating the intricacies of nursing home case liens paid off in a big way when they secured a savings of $18,908.31 by reducing a Medicare lien from $28,969.32 to $10,061.01 in a recent nursing home abuse case. This outcome brought justice to the plaintiff and underscored the importance of expertise in the constantly evolving lien resolution industry.
Case Overview
A 100-year-old skilled nursing facility resident was harmed following an incident involving staff negligence in 2022. Paramount’s initial efforts to dispute medical charges that were believed to be wrongly included in Medicare’s Final Demand Amount were denied by the BCRC. Not satisfied with this decision, Paramount Settlement Advisors wasted no time preparing to advance the case to avoid missing the deadline to request an appeal. The belief in the plaintiff’s right to a reduced lien not only reflected the clear ethical imperative established by the mistreatment the plaintiff experienced but also the strength of Paramount’s arguments. Paramount leveraged the legal acumen of Paramount’s Senior Lien Attorney, Paul Loudenslager, Esq., to compile additional materials supporting their arguments prior to commencing an appeals process that ended with a hearing in front of an Administrative Law Judge (ALJ).
Strategies for Lien Reduction
Paramount determined that the unrelated Medicare charges included in the original lien calculation were incurred for care the victim would have received regardless of the nursing home injury underlying the primary cause of action in the plaintiff’s personal injury case. This conclusion was reached based on their previous experience resolving liens in nursing home abuse cases. Paramount’s approach required a deep understanding of Medicare’s processes and procedures, and with it, Paramount successfully navigated the complexities of the case and was eventually granted a favorable appeal by an ALJ.
The experience Paramount gained successfully appealing Medicare’s decision to deny the requests to remove unrelated medical charges from the lien amount will add to the how Paramount Settlement Advisors serve attorneys in single-event ERISA, Medicare, Medicaid, and private insurance lien cases in New York and beyond.
