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ToggleA Growing Number of Hospitals Are Using Liens to Make Money Off of Patients
A car accident is a traumatic experience that victims will continue to suffer from long after their visible wounds have healed. Courts, recognizing the turmoil one endures in such an event, often award the victim a settlement to compensate for their property damages, medical bills, physical injuries, and emotional distress. However, too frequently, hospitals intercept these settlements before they can make it into the hands of the victim.
The New York Times recently reported on the growing prevalence of hospitals profiting off of car accident victims. Hospitals do so by placing a lien on the patient’s case settlement – even when the patient has insurance to afford their care.

What Are Liens?
Liens are claims made on an individual’s assets in order to ensure repayment of debt. They can be placed on homes, or, in most accident cases, settlement payments.
Origins of the Lien Law
Hospital lien laws were introduced in the earlier half of the 20th century at a time when few Americans had health insurance. The liens were intended to entice doctors to treat patients who were unable to pay upfront by promising them access to the money in another way.
Now, in the 21st century, the practice has grown rampant. Despite more Americans being insured, hospitals are continuing to use liens in order to make more money.
How Liens Make Hospitals More Money
When billing departments pursue liens instead of charging a patient’s insurance provider, they can withhold discounts typically offered to these companies. As such, they can upcharge the cost of care to the patient.
This practice has been especially prevalent amongst Medicaid patients. In one case, a bill of $2,500 – which would have been covered completely by Medicaid – became a $12,856 lien placed on the patient’s settlement.
North Carolina Law
The laws governing a hospital’s use of liens vary by state. In North Carolina, hospitals are allowed to file liens if:
- You suffered an injury requiring medical care, but did not have insurance
- You suffered an injury requiring medical care, but your insurance did not pay
- The hospital chooses to seek payment from your settlement
Liens can be used to cover outstanding costs for:
- Ambulance transportation
- Physician services
- Nurse services
- Dental services
- Hospital attention
- Hospital services
- Drugs and medication
- Medical supplies
These liens can go directly to your settlement without first charging your insurance, therefore diminishing the sum you can expect to receive.
If you or a loved one have recently been involved in a car accident, contact Dewey, Ramsay & Hunt, P.A. We will fight to protect your rights and your access to the compensation you deserve. Call today for your free consultation: (704) 377-3737.

Martha Ramsay has been fighting for injured workers and accident victims for more than twenty years. She obtained her law degree at SUNY Buffalo School of Law. After working for a few law firms, she decided to embark on her next career move and opened her own law firm in 2004, where she has successfully continued to grow her business year after year.
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Thank you Mr. Brian C. Hunt you and your Team did not stop until everything was taken care of! I am Overly Appreciative, for You and Your Team! Grateful for Everything that you have done to help me in this matter. You all always kept me up to date with any progress, thank you! Top Recommendation
The best experience. I work two jobs and it’s hard to get a hold of me. But Andrea worked with me even threw text. Make sure I was informed on everything. I had a check before i knew it. Thanks for the sercives you guys provided me, highly recommended
Attorney Hunt handled two cases for me. No complaints and the assistant Andrea is great too.
I would like to give Mr. Brian Hunt and staff and 5 star. They have Wonderful staff who are very friendly, patient, understanding and communicate in a very timely manner about everything that is going on. Mr. Hunt worked very patient, friendly and kind to make sure I was a very satisfied client. If you’re looking for an attorney that focus on your needs, friendly and understanding… Choose Attorney Brian Hunt. Have a great day!
Had an accident back in June , Andrea and Mr Hunt assisted me through the whole process , made sure we won the case! Thank you for all you do!
I was injured in a car accident. Mr. Hunt began working immediately to assist me in feeling better. This was my first car accident. Mr. Hunt and Andrea were very helpful. They guided me through the whole process. Everyone in the office was very friendly and knowledgeable. I will definitely refer my family and friends to this office if they are in an accident. Thank you all so much!!
I went to attorney Hunt after an accident. Attorney Hunt’s office got me in right away after I initially called. They were able to explain the process well and gave me a good breakdown of expectations. Everyone in the office is kind and helpful. Even when I called with follow ups they knew who I was and were able to help out right away. Definitely recommend to everyone and anyone. The bilingual staff has being a huge plus!
Andrea was amazing! Page stayed in top of things.
This team helped me through a difficult time with my car accident and I wouldn’t choose any other law office. I appreciate you all and all your hard work
Brian Hunt is a great PI attorney and will definitely take care of you and fight for you. Highly recommended.
good understanding. with my African accent they were able to help me win my case
Attorney Hunt helped me after a car accident. Their office offers assistance in Spanish! He explained the process to me step by step and helped me with the entire process. I have recommended it to my friends and family. He will fight for you and help in every way possible. I recommend it not only for being the best but also for making the process quick and efficient!
After I was in a work accident, a friend recommended these attorneys to me. Every time I called, they answered. I always had faith that we would win.
I was hurt in an accident and no other lawyer was willing to help me, but Dewey, Ramsay & Hunt showed up and showed out. Not only did this law firm keep me up to date with what was going on with my case, but when I felt down or needed to vent, they listened to me (especially attorney Brian Hunt’s paralegal, Nataly).
I was hurt when I was t-boned in a car crash. I was pleased with Brian Hunt’s professionalism; he handles his clients well and lets them know what’s going on. Maris (Case Manager) is great too! She stayed on top of things and is very personable! Nothing but a positive experience for me. Not a large firm but attacked the large issues. Very pleased and will return, if need be.
I was in a car crash and I was referred to Dewey, Ramsay & Hunt by my chiropractor (Prosperity). I really liked how I was updated a lot; Maris really kept me updated. I would definitely come back. I kept Brian’s card—I don’t keep a lot of business cards but I kept his.
I was rear-ended in a car crash and needed an attorney. I was referred to Dewey, Ramsay & Hunt by my chiropractor (Queen City). The service went well and quickly; I got better than I hoped! Everything went great!
Tuve un accidente y la persona que choco mi carro se fue (hit and run). Estuve satisfecho por lo excelente servicio, siempre contestaron todas nuestras preguntas y recibi mas dinero de lo que esperaba.
I was hit by a drunk driver and he was uninsured. Not only was he uninsured, but he was sent home without notice of his alcohol content. Brian Hunt not only sought out to help me, but he offered his services to my passenger as well. He was immediately concerned about the situation. He and his staff were readily available to answer any questions I had and worked diligently to handle my case. Great team, office, and personalities!!
I was rear-ended while at a complete stop. I suffered a concussion, neck injury & bleeding on the spine. My vehicle was totaled & covered but I had no medical insurance to cover my medical expenses. My biggest concern was my expenses and Mr. Hunt got all of my expenses paid! Also pleased that I was compensated otherwise! I’m always going to have trouble with discs in my neck but thankful my immediate expenses were covered.
We were rear-ended by a speeding vehicle. I am very pleased with the services that the whole staff here provided for us. They kept us informed and made sure my whole family was good after the accident. Very honest with us! Keep doing what you are doing!
I was referred to Martha Ramsay by another attorney. I appreciated how they kept me informed about all updates and my case manager, Kathy, was a great help all the way through. Martha Ramsay did a great job!
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