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Courses/Personal, Property & Family Law/Personal Injury & Tort Law

Crossing the Finish Lien: Medicare After Final Demand

Master the post-demand process: how to appeal, waive, or compromise Medicare reimbursement claims effectively.

Created byNYS Academy of Trial Lawyers
BeginnerUpdated Oct 2, 2026
Crossing the Finish Lien: Medicare After Final Demand

What You'll Learn

check_circleAnalyze the components of a Medicare final demand letter to verify accuracy
check_circleApply federal procurement cost reduction regulations to determine correct reimbursement amounts
check_circleNavigate the four levels of the Medicare administrative appeals process
check_circleEvaluate eligibility for waivers based on financial hardship or equity and good conscience
check_circleImplement strategies to prevent or mitigate treasury referral for unpaid Medicare debts

About This Course

Think the Final Demand is the end of the story? Think again.

This program explores what happens after Medicare issues its Final Demand, including options for reducing the lien through the administrative appeals process, handling payment timing issues, and responding to post-payment CMS demands.

Attendees will gain practical guidance on navigating post-demand pitfalls and ensuring their case truly reaches the finish line.

Topics Covered:

  • Medicare final demand letter components
  • Procurement cost reduction regulations
  • Administrative appeals process levels
  • Financial hardship waiver criteria
  • Equity and good conscience waiver arguments
  • Medicare compromise request procedures
  • Treasury referral and collection actions
  • Duplicate case identification and resolution

Your Instructors

NYS Academy of Trial Lawyers
NYS Academy of Trial Lawyers
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The NYS Academy of Trial Lawyers is the largest statewide trial bar in the US with 5,700+ lawyer and judge members. We are committed to protecting, preserving and enhancing the civil justice system. Our highly acclaimed CLE programming features extraordinary presenters covering the most timely and important topics.

Paul  Loudenslager, Esq., MSCC
Paul Loudenslager, Esq., MSCC

Senior Lien Attorney at Precision Resolution, LLC

Mr. Loudenslager is the Senior Lien Attorney at Precision Resolution, LLC. A Certified Medicare Set-Aside Consultant, he focuses his practice on Medicare Advantage Plan, ERISA, and Medicaid liens, specifically the litigation and resolution of these lien amounts in personal injury actions. He received his J.D. from Western New England University School of Law in Springfield, MA, where he served as Production Editor for the Western New England Law Review.

Catherine  Lesinski
Catherine Lesinski

Senior Case Manager at Precision Resolution LLC

Catherine, Senior Case Manager at Precision Resolution, is a veteran paralegal with 18 years of experience, 11 of which have been primarily focused on personal injury. A Louisiana native, she attended the University of New Orleans and Georgia Piedmont, where she earned her paralegal degree and served on the Paralegal Studies Advisory Committee until 2018. Known for her passion for dissecting details, Catherine excels in preparing complex arguments and brings a meticulous, strategic approach to resolving liens.

Credit Information

Professional development requirements vary by profession, country, and regulatory body. Before enrolling, review the course details and confirm that the content, learning format, and any listed credits meet your specific requirements. You are responsible for confirming eligibility with your regulator or professional association and keeping the records required for reporting.

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Frequently Asked Questions

We are a registered provider with 327+ associations and regulatory bodies worldwide. We operate across 29 global markets including Canada, the US, Australia, and the UK. Every course page clearly displays its specific accreditations. Upon completion, you receive a professional certificate that can be validated online. Our certificates include all necessary accreditation details, credit hours, and completion dates, and are formatted specifically to meet the submission requirements of most global regulatory bodies.

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