Medicaid Lien Resolution

It is possible for Medicaid beneficiaries to have one or more additional sources of coverage for health care services. Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan. By law, all other available third party resources must meet their legal obligation to pay claims before the Medicaid program pays for the care of an individual eligible for Medicaid.

States are required to take all reasonable measures to ascertain the legal liability of third parties to pay

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for care and services that are available under the Medicaid state plan. Since Medicaid is the payer of last resort it is important to investigate any liens associated with accident-related injuries.

We are experts in lien resolution. It is what we do every day, all the time, on every case. Based on our years of experience resolving thousands of Medicare conditional payment claims, we have created our very own lien resolution process, built a one of a kind claims processing system, and put together an amazing, dedicated and talented staff of medical, legal, and claims specialists with years of experience handling Medicaid liens.

As a Conditional Payment Company, we offer 100% Medicare Compliance including:

End-to-End Solutions
- Mitigation of Medicare penalties by resolving all Conditional Payment liabilities.
- Protection of client’s financial resources by reducing Conditional Payment reimbursement amounts to the lowest defensible amount…and not a penny more!
- Simplification of Medicare compliance for claim adjusters by reducing their Medicare duties to a couple of basic steps – transmission of Medicare claims to Flagship at the front end, then filing Medicare closure documents at the back end.
Management Reports
- Quarterly Management Report that includes claim referral volume, Conditional Payment demands, fees, net savings, and ROI. Report tracked by claim adjuster can also be expanded to include individual claim offices and regional results.
100% Compliance guarantee when all Medicare and Flagship policies and procedures are followed.