Conditional Payment Dispute and Appeal Services

Mitigate liability and reduce costs with the help of our dedicated lien services experts who have vast experience with CMS conditional payment, Treasury, as well as Medicare Advantage and Part D recovery claims.

Stakes are high with Medicare conditional payment claims—with real dollars at risk

Insurers face significant liability and potential lawsuits for double damages. In addition, Treasury claims (and offsets) continue to increase, presenting additional challenges for insurers and underscoring the need for proactive compliance practices. 

A unique approach towards conditional payment claims

Our advocacy-driven approach to Medicare recovery claims helps you take control of the process to mitigate risk and reduce costs. 

Advocacy and experience

Let our team help you navigate the tricky and nuanced Medicare recovery process to address and resolve conditional payment claims with confidence. 

Reduce exposure and dispute unwarranted claims

Our lien services team has vast industry knowledge and experience in challenging CMS when appropriate to help you reduce exposure. We’re ready to dispute inappropriate and unrelated claims. 

Proven results and savings

Our team advocates on your behalf to consistently deliver savings, minimizing risk and helping you settle more claims. 

Feature and capabilities

Identify potential exposure

Let our team request and obtain Medicare’s claimed conditional payment amount. 

Analyze Medicare’s conditional payment claim

Our team analyzes Medicare’s reimbursement claims to determine if filing a dispute is appropriate. 

Dispute inappropriate or unrelated claims (when applicable)

We will dispute any date or service that is unrelated to the underlying claim or would otherwise not be owed by the insurance carrier. 

Provide payment instructions (when applicable)

Upon resolution, we will provide detailed payment instructions for any dates of service for which reimbursement is owed, helping you resolve Medicare’s claim.