⚠️ Resolving the case is only half the battle. The real fight begins after resolution when liens threaten your client’s net recovery. Here’s why lien resolution is one of the most daunting challenges for PI firms: ❌ A maze of federal and state laws (Medicare, Medicaid, ERISA, FEHBA) ❌ Aggressive recovery vendors like Rawlings, Optum, and Equian ❌ Unclear obligations that can expose you to personal liability ❌ Direct impact on trust, Google reviews, and future referrals A lien res mistake costs: 💸 money, ⚖️ malpractice risk, and 💔 client satisfaction. That’s why thousands of personal injury firms nationwide already partner with Synergy. We fight the uphill battles, negotiate with recovery vendors, and ensure your clients keep more of the net recovery, while protecting your firm. Learn more: 🎓 This Week in the Lien Resolution Masterclass: https://ow.ly/BA8W50XaN2v 🎥 Watch: Challenges of Lien Resolution 📥 Download: The Daunting Taks of Resolving Liens 📚 Read: Why Lien Res is So Challenging 👉 Don’t fight needless uphill battles with lien holders. 👇 Comment “DAUNTING” and we will DM you the link directly for all the Masterclass materials.
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Sympathy and venue matter. But what really drives costs higher in catastrophic cases is the calendar. Every 90-day gap adds something new to a case — more treatment records, another expert update, and usually a higher reserve. The facts of the case didn’t change. The calendar did. And with every delay, costs climbed. But that’s avoidable when we: - Lock liability facts early - Schedule key depositions when the medicine supports it, not months later - Set one calendar of critical events, with decisions tied to those dates - Sequence medical and liability work so reserves move on evidence, not delay - Push for early clarity on liens and litigation funding to avoid late surprises Catastrophic cases can take time. The difference is whether costs rise with the facts or with the calendar.
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Always Get Names AND Phone Numbers—Witnesses Disappear Fast 📝📱 After an accident, witnesses can be some of the most valuable sources of evidence—but they can also be the hardest to track down later. People’s memories fade quickly, and they may move, change numbers, or simply be hard to reach as time passes. Having their full contact information ensures their testimony can back up your story when it matters most. 🕵️♂️⏳ Take a moment at the scene to collect not just names, but phone numbers (and even email addresses if possible). The sooner you do this, the stronger your case will be when it comes time to prove what happened. 📋📸 📌 Free Consultation: If you’ve been involved in an accident and aren’t sure whether you have enough witness information—or how to use it—schedule a free, no-obligation consultation. Get guidance on preserving evidence, building a strong claim, and securing the resources you need for medical care, lost wages, and long-term recovery. 🌟💼 Learn more here: http://smpl.is/acmsk ✅
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In 2021, I signed a case that involved a fender bender in a parking lot. At one point after we signed it, I had second thoughts and considered disengaging. Our client suffered soft tissue injuries as a passenger that healed relatively quickly with minimal treatment. But the client was cooperative and wanted our help, so we stayed in the case. We ended up settling for around $3,000. We probably made a few hundred bucks on the case, and we moved on to the next one. A couple of years later, this same client suffered more serious injuries in another crash. We settled that case for the policy limit of $100,000. And then earlier this year, this client was involved in yet another accident. We settled that case for the policy limit of $250,000. My client was not at fault in any of the three crashes. If he's guilty of anything, it's being unlucky. When he left after picking up his settlement check a couple months ago, I told him to be careful out there. And I hope his luck improves. But this is why little cases matter. You never know what a small case might lead to. Signing a lot of small cases might look like "volume" work. But out of that volume, your firm gets: • Google reviews, • Referrals, and • Goodwill from clients. Although the fees are small, there’s a return you get from taking care of people with small cases. It pays off in the long run. You stay in touch with them, and they'll remember your name when they—or someone they know—need it the most. It’s hard in the moment. But years later, those small cases often prove to be part of a chain of outcomes that helped build the firm.
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For ERISA-covered self-funded plans, regulatory uncertainty translates directly into fiduciary risk. ERISA’s requirements are unforgiving: plan fiduciaries must act with the care, skill, prudence, and diligence of a knowledgeable person acting in a like capacity, and they must act solely in the interest of plan participants and beneficiaries. Courts have consistently held that fiduciaries can’t hide behind complexity or claim they didn’t understand their obligations. Learn more about how Dorsal.fyi's data platform can help: https://lnkd.in/gwBcy9Nm
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Every plan manager I talk to says the same thing: "Healthcare MRF data is too messy for us to get much out of." And every attorney I talk to says: "That won't hold up in court." ⚖️ ERISA's fiduciary standard is unforgiving. You can't claim you didn't understand your obligations when participants challenge plan decisions. With enforcement ramping up, new laws and EOs, and high-profile litigation — the cost of ignorance is going up. This is why we built Dorsal.fyi: to turn regulatory complexity into a competitive advantage for plan sponsors who take their fiduciary duty seriously 🌊 Calculate accurate QPAs. Save millions on high-cost procedures. Skip expensive, painful IDRs. Stay compliant. This piece breaks down what plan fiduciaries actually need to know 👇
For ERISA-covered self-funded plans, regulatory uncertainty translates directly into fiduciary risk. ERISA’s requirements are unforgiving: plan fiduciaries must act with the care, skill, prudence, and diligence of a knowledgeable person acting in a like capacity, and they must act solely in the interest of plan participants and beneficiaries. Courts have consistently held that fiduciaries can’t hide behind complexity or claim they didn’t understand their obligations. Learn more about how Dorsal.fyi's data platform can help: https://lnkd.in/gwBcy9Nm
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Managed care isn't immune - in fact with how their margins are set up and recent policy shifts, while the compliance risks are different, the impact on the bottom line is perhaps even more consequential. https://lnkd.in/djTUsRku
For ERISA-covered self-funded plans, regulatory uncertainty translates directly into fiduciary risk. ERISA’s requirements are unforgiving: plan fiduciaries must act with the care, skill, prudence, and diligence of a knowledgeable person acting in a like capacity, and they must act solely in the interest of plan participants and beneficiaries. Courts have consistently held that fiduciaries can’t hide behind complexity or claim they didn’t understand their obligations. Learn more about how Dorsal.fyi's data platform can help: https://lnkd.in/gwBcy9Nm
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⚠️ You can’t resolve what you don’t know exists. Many law firms lack a repeatable process to identify, verify and audit every lien before trying to negotiate. The truth? The real risk is before you ever pick up the phone if you miss one. Here’s why: 🔎 Identification – Miss a lien and it can resurface down the road exposing your firm to liability. ✅ Verification – Not every asserted claim is enforceable. Every lien must be verified to avoid reimbursement that should never happen. 📊 Audit – Inflated charges, unrelated treatment, and errors slip through unless every claim is audited. Miss any of these steps and you risk: ❌ Overpayment ❌ Compliance issues ❌ Malpractice exposure ❌ Reputational harm It is why thousands of personal injury firms nationwide already partner with Synergy. Our proprietary services offer identification, verification and audit to make sure you are covered and every dollar of the net is protected. Learn more: 🎓 This Week in the Lien Resolution Masterclass: https://ow.ly/5Xel50XeiZO 🎥 Watch: Mastering Identification & Verification 📥 Download: Lien Identification, Verification & Audit White Paper 📚 Read: Why Lien Identification, Verification and Audit are Critical 👉 Don’t ever miss a lien. 👇 Comment “IDENTIFICATION” and we will DM you the link directly for all the Masterclass materials.
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✍️ Demand Letters Done Right: Crafting the Perfect Settlement Demand Letters! 👨⚖️ From my professional perspective, attorneys who invest time in crafting precise, evidence-backed, and strategic #demandletters often see faster responses and better outcomes. ⚖️ In today’s market, where insurance companies and defense teams are more meticulous than ever, cutting corners is not an option. 👩⚖️ From our experience working with attorneys on personal injury and mass tort cases, the difference often comes down to strategy, clarity, and precision. Here are a few key lessons I’ve learned over the years: ✔️ Clarity is King ✔️ Evidence Speaks Louder Than Words ✔️ Tailor Your Approach 💡 Takeaway: Don’t just send a letter send a letter that commands attention and communicates value. Ensure it’s thorough, concise, and tailored to the case. 📄 Are you seeing the difference in response times and #settlements? I’d love to hear your experiences in the comments! 📞 +15302400250 📧 review@medicalrecordsreview.com 🌐 https://ow.ly/QFhR50Xesip #LegalStrategy #SettlementSuccess #DemandLetters #PersonalInjuryLaw #MassTort #AttorneyTips #MedicalRecords #LegalExcellence #ProfessionalInsights #MRRHealthTech
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When plan language fails, the plan pays the price. Here’s a real-world example of DRG overpayments, where the billed, covered, and allowed amounts were all $1.15M, yet the plan paid $2.7M. That’s not a billing error, it’s a plan document failure. If your plan doesn’t clearly define reimbursement as “the lesser of the billed or DRG-calculated amount,” you’re leaving the door wide open for overpayment. Fiduciary duty isn’t optional, it’s required. Every word in your plan matters. Every line of every claim should be reviewed. #ClaimsIntegrity #SelfFundedPlans #DRG #USBeacon #AuditYourClaims #ERISA #Compliance #HealthPlan
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When plan language fails, the plan pays the price. Here’s a real-world example of DRG overpayments, where the billed, covered, and allowed amounts were all $1.15M, yet the plan paid $2.7M. That’s not a billing error, it’s a plan document failure. If your plan doesn’t clearly define reimbursement as “the lesser of the billed or DRG-calculated amount,” you’re leaving the door wide open for overpayment. Fiduciary duty isn’t optional, it’s required. Every word in your plan matters. Every line of every claim should be reviewed. hashtag #ClaimsIntegrity hashtag #SelfFundedPlans hashtag #DRG hashtag #USBeacon hashtag #AuditYourClaims hashtag #ERISA hashtag #Compliance hashtag #HealthPlan …more
When plan language fails, the plan pays the price. Here’s a real-world example of DRG overpayments, where the billed, covered, and allowed amounts were all $1.15M, yet the plan paid $2.7M. That’s not a billing error, it’s a plan document failure. If your plan doesn’t clearly define reimbursement as “the lesser of the billed or DRG-calculated amount,” you’re leaving the door wide open for overpayment. Fiduciary duty isn’t optional, it’s required. Every word in your plan matters. Every line of every claim should be reviewed. #ClaimsIntegrity #SelfFundedPlans #DRG #USBeacon #AuditYourClaims #ERISA #Compliance #HealthPlan
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