Conditional Payments Successes
At Royal-MSA Consultants, we take an aggressive approach to Conditional payments investigation.
We pride ourselves in achieving the best outcome for your client.
Medicare Medicaid's conditional
payment amount | Medicare/Medicaid's accepted
Amount after RMC negotiations | Savings to our Client | | $1,041.01* | $168.29 | $871.72 | |
| $10,239.05* | $397.81 | $9,841.24 | |
| $11,156.54* | $0.00 | $11,156.54 | |
| $14,285.99* | $0.00 | $14,285.99 | |
| $48,427.14*** | $20,000.00 | $28,427.14 | |
| $66,288.77* | $2,000.00 | $64,288.77 | |
| $82,140.56*** | $13,000.00 | $69,140.56 | |
| $189,628.39* | $12,600.40/**$4,000.00 | $173,027.99 | |
| $200,000.00* | $0.00 | $200,000.00 | |
| $623,207.45 | $52,166.50 | $571,039.95 |
*Medicare / ** Medicaid payments / *** GHP
Conditional payment inquiries or "lien" negotiations may involve legal arguments and legal opinions. In some cases, we can accomplish the assignment in a relatively short period of time.
An action plan to streamline the referral process that will provide us with the necessary information to ensure compliance on each and every claim to ensure that Medicare's interests have been considered. This will ensure that there are no significant delays in receiving and providing the information to Medicare.We will determine if claimants are/were recipients of a government assistance program and determine if these programs have liens against the settlement, and compromise, settle or execute a release of the program's claim. We will coordinate between the insurance companies on each claim to ensure continuity between the parties ensuring that compliance is met at every level.We will provide education to the staff members so that they have a better understanding of the requirements for MMSEA Sec. 111 and MSP Compliance. We will assure you that each and every case that requires CMS/MSP compliance will be handled professionally, timely, and with accuracy.Our fee schedule is custom tailored to fits your needs and the needs of your client.
Our process is designed to ensure that; 1) each reportable claim is handled properly to ensure compliance; 2) your reimbursement claims and conditional payment issues are handled in a compliant manner; 3) to secure required information from relevant sources to ensure best practices; 4) that your clients receive the maximum recovery; and 5) You receive excellent service at a pre-negotiated price.
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