Conditional Payment Dispute and Appeal Services

Mitigate Liability and Reduce Costs with Dedicated Lien Services

At BCM Law, P.C., we understand the complexities and challenges insurers and RRE’s face when dealing with CMS conditional payments, U.S. Department of Treasury claims, and Medicare Advantage/Part D recovery claims. With rising liabilities and the increasing frequency of Treasury claims and offsets, the need for proactive compliance is more critical than ever. Our specialized Conditional Payment Dispute and Appeal Services help you reduce exposure to costly mistakes and protect your interests, preventing potential post-settlement disputes between the parties and Section 111 penalties.

Our Lien Services Team consists of attorneys and Certified Medicare Secondary Payer Professionals with deep knowledge of the insurance landscape, including compliance with Section 111 Reporting requirements, challenging workers’ compensation, liability and no-fault conditional payment cases, and settlement contract review of Medicare terms. Our team is well-versed in challenging the Centers for Medicare & Medicaid Services (CMS) when appropriate. We’re ready to help you dispute inappropriate or unrelated claims and navigate the entire appeals process to reduce your liabilities.

Why You Need Conditional Payment Dispute Services

Insurers are under constant pressure to avoid potential lawsuits, including those involving double damages for non-compliance. Additionally, Treasury claims and offsets are growing in frequency, presenting another layer of complexity for insurers to manage. Without the right support, errors in handling conditional payments could lead to significant financial exposure, including fines and penalties.

We are here to help mitigate these risks by offering dispute and appeal services tailored to your specific needs. Our team works proactively to address and resolve CMS disputes, ensuring that you stay compliant with regulations and minimize financial risk.

Common Reasons for Conditional Payment Claim Appeals

Conditional payment claim appeals may arise due to various reasons. Our team has extensive experience handling disputes related to the following issues:

• Termination of ORM (Other-Related Medical) Due to Benefits Exhaustion in No-Fault Cases
• Termination of ORM Due to Settlement or Other Claim Resolution
• Benefits Denied/Revoked
• Non-Covered Services
• Duplicate Primary Payment

If you are facing CMS conditional payment reimbursement claims, Treasury collections, or Medicare Advantage/Part D recovery issues, contact us at 312-425-3131 or submit THIS FORM.