Conditional Payments

Identifying government benefits and other liens has a two-fold purpose which entails identifying the receipt of past benefits and ongoing benefits.
At Royal MSA Consultants, we will identify the claims and resolve the conditional payments for past medical treatment made by Medicare efficiently by working directly with the Medicare Secondary Recovery Payer Contractor.
Our Lien Resolution Service:
  • Verification – Confirm if the injured is receiving government benefits. Contact the Coordination of Benefits and report the claim
  • Request the Payment Summary from (MSPRC) and Review Conditional Payment Summary
  • Dispute unrelated medical claims
  • Request final demand – original demand less unrelated items less procurement costs
  • Assist with hardship waiver, if applicable
  • Attorney and/or Royal receives Demand letter. Payment is required to Medicare within 60 days of receipt of Demand letter, even if a waiver has been requested
  • To engage Royal MSA Consultants to resolve Medicare Claims
    For us to determine the services necessary for each individual case we will need the following information submitted:
  • Completed case intake form
  • Signed releases (CMS/SSA)
  • Copy of the Settlement documents including Atty. Fees and costs (see below)
  • Copy of any correspondence with Medicare
  • If your clients' case has settled, we will need a copy of the Settlement Statement itemizing the breakdown of the settlement and a copy of the signed Settlement Agreement & Release.
    Benefits of Using Our Lien Resolution Services:
  • Faster case closure and greater lien reduction due to our work processes, knowledge of CMS and applicable laws
  • Quality work is assured as our staff members have CMS experience and work on lien resolution full time
  • Maximize your clients’ settlement through negotiation and reduction of liens
  • Increase the productivity of your office by freeing up time and resources to do what you and your staff do best
  • Increased client satisfaction
  • While Medicare mandates insurer reporting, there may be other liens that exists requiring resolution as well. We will work efficiently to resolves the types of liens as well. Contact us for a complete list of services we offer.
    The total costs involved for complete resolution of Medicare/Medicaid’s claims will be $1,650.00. Please process your check made payable to Royal MSA Consultants, and reference the name of the beneficiary.
    Don't Forget!

    An initial Conditional Payment Letter (CPL) does NOT need to be requested. A CPL will now be generated automatically within 65 days of the issuance of the "Rights and Responsibilities Letter".
    Fee Schedule
    Please provide your information below to obtain our pricing structure.
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    Royal MSA Consultants, Inc. PO Box 2067, Oldsmar, FL 34677-7067
    Tel. (813) 749-8282, (800) 528-1002, Fax: (813) 749-8285
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