Medical Liens and Patient Payment in North Carolina

INTRODUCTIONNorth Carolina allows most health care providers to
The traumatically brain injured constitute an everassert a medical lien against the proceeds of any
growing segment of our population. Each year,recovery from a third party received by their
approximately 1.4 million people sustain a traumaticpatients. The lien is creature of statute. The statute
brain injury in the United States. The costs of a brainsets forth the steps and procedures which must be
injury are not purely financial. Often, a brain injuryfollowed in order to maintain and perfect a medical
starts a downward spiral in the survivor’s lifelien. Medical liens are perfected by filing notice of the
where the emotional and physical ramifications quicklylien with the patient’s attorney.
exceed the financial ones.1. The Specifics. Any person who provides drugs,
Once the acute care period is over and the patient ismedical supplies, ambulance services, services
stabilized, the resources available to the patient canrendered by any physician, dentist, nurse or hospital
substantially impact treatment and recovery. In aor services rendered in connection with an injury is
perfect world, every patient would have unlimitedentitled to a lien upon any sums recovered as
access to the best resources available to meet theirdamages for personal injury.a. No lien is valid unless
needs. Ours unfortunately is not a perfect world.the medical lien claimant “furnishes, without
The consequences of a traumatic brain injury are farcharge to the attorney as a condition precedent to
reaching. Not only are there treatment coststhe creation of the lien, upon request, to the
associated with the recovery from the acute injuries,attorney representing the person in whose behalf the
but there are the costs of long term care andclaim for personal injury is made, an itemized
supervision, the lost support to the family unit thatstatement, hospital record, or medical report for the
the injured party previously contributed, theuse of the attorney in the negotiation, settlement or
increased physical demands placed upon thetrial of the claim...” and a “written notice to
caregivers and family of the survivor to meet thethe attorney of the lien claimed.” N.C.G.S.
needs of their injured loved ones, and the family44-49(B).b. The general statutes further limit the lien
having to step into the breach of the role that theto no more than fifty (50%) percent of the amount
injured person previously contributed to the family.of damages recovered. N.C.G.S 44-50.c. The medical
The analysis will focus on the sources of funding forlien is paid before disbursement of any funds to the
treatment and assistance to the traumatically braininjured party. N.C.G.S 44-50.
injured from First Party Resources.2. Pro Rata Distribution
FIRST PARTY RESOURCESWhere the monies available from the settlement are
The person who is ultimately responsible to pay forinsufficient, within the statutory limitation, to satisfy
the treatment and medical care which they receive isall the medical lien claimants, each lienholder shall
the person receiving the care.receive a pro-rata distribution. The medical lien
A. Persons who sign medical procedure authorizationsclaimants are entitled to receive a certification from
are also responsible unless they specifically andthe payor attorney containing sufficient information
carefully limit their personal responsibility in theto demonstrate that the distribution was pro rata
authorizing document. North Carolina has adopted theand consistent with the statutes. This certification
common law Doctrine of Necessaries. Pursuant totypically includes a statement of all of the following:a.
that body of law, a spouse or parent is legallyThe amount of the settlement or judgment.b. The
responsible to pay for the necessaries of theirtotal distribution to lienholders, the amount of each
spouse or children. In order for the Doctrine oflien claimed, and the percentage of each lien paid.c.
Necessaries to apply, the items or services providedThe total attorney’s fees.
must be required for sustenance or support.N.C.G.S. 44-50.
B. Medical Liens