Call or text us at 617-773-5500

Call or text us at 617-773-5500

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FWY's Medicare Compliance Group

Medicare Secondary Payer Solutions for Businesses and Insurers

Year Statute of Limitations
$ 1
Per Day Fine
$ 1
Per Year/Per Claim
1 %
Avoidable

One Step Ahead

How

Makes a difference

RESOLVING MEDICARE CONDITIONAL PAYMENT/ LIEN ISSUES & FULFILLING REPORTING REQUIREMENTS

What differentiates FWY’s Medicare Group from our competitors is our mastery of the relevant compliance law and our end-to-end approach to Medicare claims and issues. Our compliance team brings a collective thirty-plus years of “in-the-trenches” litigation experience. We have handled thousands of complex and traumatic injury cases in state and federal courts around the country. Therefore, every claim involving a compliance issue is analyzed through the prism of applicable compliance regulations and the strategic considerations of the litigation as a whole. 

Explore our process

  • Risk Analytics
  • Investigation
  • Understanding the Numbers
  • Negotiating

Risk Analytics

We turn the odds in our favor.

Investigation

We do the detective work.

Understanding the numbers

We understand the subtle fines and liens.

Negotiating

We resolve debts, liens and minimize exposure.

Lori Wirkus Leads the Medicare compliance team

Lori Wirkus

Managing Partner

Lori has become known for her innovative, funny, and enlightening presentations.

She doesn't just regurgitate case law updates but focuses on changing behavior and thinking strategically about MSP compliance issues.

Lori consults on both standard and complex Medicare compliance matters with insurance carriers, businesses, and law firms around the country. As an experienced litigator, she has more than 20 years of experience handling everything from the classic slip and fall cases to multi-fatality/catastrophic injury claims. Accordingly, she is not looking at Medicare issues in a vacuum but rather as a piece in a much larger litigation puzzle.

Our Administrative and Paralegal Team

Joanne Greene – Legal Billing Manager

Sharon McCarthy – Legal Nurse Consultant

Michaela N. Bassett – Paralegal

Aodhan J. Dunn – Paralegal

Natasha E. Robertson – Paralegal

the Professionals you need
when you need them.

with over 30 years of legal experience

Value Added Services we provide

Help Desk: 

Any Medicare, MSP, or other related compliance issues will receive an answer to their inquiry within 24 hours. We will also provide a quarterly newsletter with any relevant case law issues, developments, or trends.  


Auditing of internal Section 111 compliance protocol: 

This work includes an in-depth review of a claim’s reporting history, routine staff training to implement a new or existing Section 111 compliance protocol; legal case analysis; and a detailed review of settlement contacts, agent contracts, and release and settlement agreements.


Lien Resolution: 

We monitor the MSPRP portal to determine what, if any, conditional payments need to be resolved in every claim. Likewise, we have successfully negotiated thousands of liens from medical providers and collection agencies alike, saving our clients hundreds of thousands of dollars. 


Medicare Set-Asides (“MSAs” ):  

Our team handles MSA analyses in-house and partners with industry-leading vendors around the country. 

What people are saying about us

“The entire team at Flynn Wirkus Young is friendly and easy to work with and when you ask a question, you get a real answer. They are extremely knowledgeable and thorough, and are most interested in doing what’s best for their clients.”
— President, Third-Party Claims Adjuster
“FWY are litigation partners who are highly motivated and passionate about defending their clients and I could not recommend them more highly.”
— Director, General Claims

Contact Us:
We are Here to Help

We are ready to assist you with any Medicare compliance issues and take the worry of future risk and exposure off your mind.

Use the form to the right or call or text us at 617-773-5500

Explore our other divisions

we are more than medicare

While a large portion of our work deals with Medicare Secondary Payer Reporting and Recovery, we are a dynamic business that can provide various legal and consulting services to insurers and businesses alike.

Litigation

Flynn|Wirkus|Young has built a reputation for providing exceptional civil litigation services to individuals and business clients in heavily regulated industries.

Consulting

We take the entire business into consideration to ensure that our clients act within all current laws and are fully aware of any legal impediments to success.

Risk Management

We bring a unique blend of proven success, knowledge, sophistication, creativity, and energy. We help our clients protect their reputations and bottom lines while empowering them to focus on other business objectives.