Nursing Home Medicare Lien Disputes Result in Huge Reduction

A Texas woman was a long-term resident at a nursing home. Before her time at the facility, she had multiple hospitalizations for UTIs and was also at high risk for pressure ulcers. The facility neglected to properly manage and care for her pressure ulcer wounds, which became infected and ultimately led to her sepsis-related death.

 

This was a complicated case, due to the plaintiff’s pre-existing and underlying medical issues. After carefully reviewing the case details, Christina Sanalitro, CP, Senior Lien Negotiator at MASSIVE, made numerous disputes using medical records, reports, and billing information. The hard work paid off, as Christina proved that even though there was a diagnosis code related to the case on a charge, it did not mean the entire charge was recoverable. The $329,940.32 Medicare lien was knocked down to $2,958.68!

 

“The lien resolution process can be challenging. With help from the firm for documentation and billing, I was able to show Medicare that the entirety of all their billings is not recoverable,” said Christina. “It took multiple disputes, but our customer was overjoyed with the results and my perseverance to get the proper resolution.”

 

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] to see how our experts can help you.