Practice

Class Actions

MSP Recovery Law Firm’s attorneys have litigated 100+ class actions related to insurance proceeds, federal and state statutes. As early as 1995, our attorneys have taken on and prevailed against some of the largest companies in Florida and the United States. From representing 30,000+ individuals in a class action against the Florida Department of Agriculture, to be selected as lead class counsel in numerous lawsuits against the largest automobile insurance companies throughout the United States, MSP Recovery Law Firm’s attorneys have the experience to address even the most complicated and data driven class actions.

MSP Recovery Law Firm’s attorneys manage and oversee class actions related to matters based on large public and private databases. Due to the size and scope of the data, unique issues arise in these class actions that only experienced class action counsel can anticipate and properly prepare to address in a practical manner. MSP Recovery Law Firm’s attorneys have the experience and practical knowledge to properly and successfully advance data driven class action litigation.

 

Contract Issues (Providers, Hospitals, Governmental, etc.)

Improper Rates

Improper and Late Billings and Payments

Regulatory Requirements

Proper Payors of Subject Services

Improper Deductions

Improper Recoveries

Improper Reimbursement Standards

Managed Care Litigation

MSP Recovery Law Firm’s managed care practice spans all departments of the firm. The firm focuses on recovering payments made by Medicaid plans, Medicare Advantage Organizations (“MAO”) and health plans where another entity should have paid; however, we regularly analyze and address key managed care issues confronting providers across the country.

We represent health plans in a variety of situations where responsible non-health plan entities (i.e. primary payors) have failed to make payment of claims.

When primary payors fail to comply with their statutory and contractual responsibilities, health plans are improperly forced to pay for medically necessary for which are the responsibility of primary plans. MSP Recovery Law Firm focuses on these issues to recover for health plans.

MSP Recovery Law Firm focuses on class action litigation dealing with the Medicare Secondary Payer Act (“MSP Act”). The MSP Act is a federal statute which requires Medicare to pay for medically necessary treatment only after a primary insurance plan has met their obligation to pay for those same treatments. MSP Recovery Law Firm has won major victories against some of the largest insurance companies in the United States for their failure to comply with the MSP Act.

 

Compliance / HIPAA

MSP Recovery Law Firm handles medically sensitive information, such as patient medical records and medical bills when counseling MAOs in pursuit of recovering reimbursement for medical payments made on behalf of Medicare Enrollees under the MSP Act. MSP Recovery prides itself in keeping these medical record confidential, taking many steps to make sure that all MAO Enrollees medical information is protected and secured. To protect Medicare Enrollees information, every MSP Recovery employee must: (1) comply with the Health Insurance Portability and Accountability Act (“HIPAA”); (2) comply with state privacy laws; (3) every year complete a HIPAA training course; (4) pass a compliance examination to receive HIPAA Certification; and (5) stay up to date with any changes provided by the Center for Medicare and Medicaid Services (“CMS”).

MSP Recovery Law Firm will use the information it has accumulated to help our clients meet their HIPAA responsibilities. We have created HIPAA presentations to help facilitate the learning process for our clients. We travel around the U.S. to attend healthcare law conferences with HIPAA focused topics, reviewing CMS memorandums and presentation, use legal research databases like Bloomberglaw, the American Bar Association and more to stay up to date with changing HIPAA regulations and provided the best service for our clients. Using these resources, we can help our clients in several ways:

 Taking preventive measures to ensure HIPAA compliance for your health insurance company.
 Auditing healthcare plans to ensure HIPPA compliances.
 Counseling clients on healthcare information data breaches.
 Preparing and reviewing business agreements, training and documentation for HIPAA.
 Correcting any potential regulatory issues with the healthcare plans.
 Communicating and negotiating with CMS when there are alleged HIPAA violations.
 Installing a computer system that will enable our clients to track potential issues and flag problems with healthcare plans make sure those issues do not reoccur.

These are only a few of the services we provide. Each client is different and MSP Recovery Law Firm understands that not every client will have the same question or agree with every solution we offer. MSP Recovery Law Firm will develop a system for each of their clients that will make their company more efficient, cost effective, and secure.

Health Care
Transactions

The attorneys at MSP Recovery Law Firm have their focus on providing the best legal product by developing innovative and creative ways to help increase client’s profitability, asset protection and collect on reimbursement claims. The attorneys lead clients through the complex legal and regulatory framework of the different Federal and State Statutes corresponding with healthcare laws, for example, the MSP Act and Florida Statute 627.736 (Florida’s Personal Injury Protection Law). We monitor every healthcare business transaction that our clients enter, to ensure compliance with Federal and State Statutory provisions. It is essential for healthcare insurance providers to be aware of the developments in the healthcare law. We at MSP Recovery Law Firm are ready to assist and prepare clients with all their legal needs, including:

  • Creating employment contracts, lease contracts, provider contracts, business associate contracts and all other health care contracts.
  • Confidentiality and noncompete agreements.
  • Shareholder, operating and partnership agreements.
  • Asset purchases.