|
Life Care Planning
Nursing and Physician Case Reviews
Medical Cost Projection
Catastropic & Complex
Claim Consulting
Medicare Set-Aside Arrangement (MSA)
Conditional Payment Lien Negotiation
Risk Management
Consulting
Client Specific Consulting
|
|
Printable Copy
The Medicare Secondary Payer (MSP) laws place significant responsibilities on all parties in Workers’ Compensation and Third Party Liability cases for protecting Medicare’s Interest where those cases include future medical expense.
The recommended method to protect Medicare’s interest is a Medicare Set Aside Arrangement (MSA), which allocates a portion of the settlement for appropriate future medical expenses. The amount of the MSA is determined on a case-by-case basis and should be reviewed by CMS, when applicable. Once the CMS determined set aside amount is exhausted and an accurate accounting is provided to CMS, Medicare will agree to primary pay for future Medicare covered expenses related to the illness/injury.
Sounds simple, but in reality, it can be all but simple. The complexity of medical issues within many claims requires a discerning eye to properly sort related and unrelated medical diagnoses and care, and to evaluate Medicare covered and Non-Medicare covered care.
Our goal, simply put, is to protect Medicare and protect you.
To accomplish this goal, we:
- Assess the case upon receipt
- Consult with the referral team
- Prepare a MSA that accurately portrays Medicare covered and related future medical expenses and Non-Medicare covered and unrelated future medical expenses.
Our Medicare Set Asides are completed start to finish by licensed Medicare Set Aside Certified Consultants (MSCC) and a team approach is taken by our medical and legal professionals to ensure that you get the best possible results.
|