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Leslie MacLean Talks Medicare Lien Negotiations

Waters & Kraus Partner Talks Lien Negotiations at Medicare Mandatory Reporting Requirements Seminar

On September 21, 2010, Leslie MacLean, a partner in the Dallas office of Waters & Kraus, LLP, discussed the mechanics of negotiating Medicare liens at a seminar produced by HB Litigation Conferences titled “The Medicare Mandatory Reporting Requirements.” MacLean, who heads up the firm’s Medicare resolution department, has refined the process to a specific set of procedures for successful resolution that include:

  • Identifying eligible clients early
  • Setting up clients in Medicare system
  • Obtaining and verifying conditional payment summary
  • Obtaining, verifying, and paying final demand
  • Obtaining clearance letter

MacLean also details the laborious process of verifying the conditional payment summaries. Under her guidance, a team of Waters & Kraus medical paralegals reviews the conditional summary payments to determine if there are any charges for unrelated or unauthorized treatments. Medicare is alerted to the disputed charges and a revised conditional payment summary is requested. MacLean explained that “[y]ou do this until you get the answer that you believe is accurate.” Read more…

Michael Armitage, a partner in the firm’s Los Angeles office, also spoke at the conference about the overall effect of the mandatory reporting requirements on the practice of law.

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