MASSIVE Reduces Nursing Home Medicaid Lien by over $65,000

Nursing home negligence liens are difficult to resolve. Recently, one of our firms represented a Missouri man who suffered from pressure sores and sepsis due to nursing home negligence. His treatments totaled $66,492 in Missouri Medicaid liens.

Our experts know that Medicaid lienholders are entitled to recover claims as long as one diagnosis code is related to the case. It is difficult to prove without supporting evidence to validate the dispute. In this case, the plaintiff was already in treatment for sepsis for non-related issues but later got sepsis from the pressure sores. Christina Sanalitro, Senior Lien Negotiator at MASSIVE, had to analyze and differentiate the timing of sepsis from a urinary tract infection. Once our team was able to prove the unrelated charges with supporting documents and records, we were successful in reducing the lien to $538, saving the plaintiff over $65,000.

“Nursing home negligence cases are complicated when attempting to establish correlation of pre-existing conditions with the injuries due to negligence,” said Christina. “When the proper medical documentation is reviewed and presented in the correct way; it produces successful results. Our knowledge and experience dealing with Medicaid, combined with our perseverance to establish our position, allowed us to get the unrelated treatment removed and get the best result for the law firm and family.”

Put more money in your plaintiff’s pocket by putting MASSIVE on the case! Login to our Live Data Portal and upload your cases today or contact us at 833-466-2774 or [email protected].