Perhaps there is a misunderstanding or miscommunication. As a general rule, settlement proceeds less (potential) liens may be disbursed. Your question suggests that the MSPRC number was conditional. Good luck.
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Most lawyers will escrow an amount that will be more than sufficient to pay the lien and distribute the balance. The lawyer can send Medicare a letter explaining why the treatment is unrelated and Medicare usually drops the claim pretty quickly. Perhaps the lawyer is worried about additional charges popping up.
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He should be able to distribute the funds, minus the amount medicare claims is the lien, and then work out a settlement of that amount as well. This is what usually happens.
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