CMS’ Data Driven Approach to MSP Compliance
Injured parties should be advised about the potential impact of the MSP Act on their post-settlement injury-related care and files properly documented.
Tag: MSA
Medical Cost Projections and Medicare Set-Asides (MSAs)
A Medical Cost Projection (“MCP”) report helps a personal injury attorney quantify an injury victim’s future medical expenses. The report is generally prepared by a nurse allocator and will include projections for treatment that might occur as a result of the initial injuries.
Would Better Billing by Providers Result in Fewer MSP Recovery Claims Cases?
MSP Recovery Claims, Series LLC, and MSPA Claims 1, LLC have filed several cases on behalf of Medicare Advantage Organizations (MAOs).
Synergy’s Workers’ Compensation Medicare Secondary Payer Advice
An attorney representing an injured worker may scan the defense’s Medicare Set-Aside and assume the future medical issues have been addressed.
11th Circuit Brings Clarity to the Statute of Limitations for Medicare Advantage Plans
The 11th Circuit Court of Appeals has attempted to bring some clarity to the statute of limitations in a recent case.
Is it Workers’ Compensation or Liability?
Attorneys settling cases involving work-related injuries may find themselves similarly perplexed when it comes to whether a work-related injury will be treated as a workers’ compensation or liability case for purposes of the Medicare Secondary Payer Act (“MSP”).
Synergy’s Workers’ Compensation Medicare Secondary Payer Advice Column
September 9, 2021 Samantha Webster Structured settlements may be used to fund a Workers’ Compensation Medicare Set-Aside (WCMSA). Samantha Webster, Synergy’s Director of Case Management, addresses two common questions that come up about funding of a WCMSA with a structured settlement annuity. Question #1: “Are there different structured settlement options to fund a Medicare Set-Aside […]
How the Acronym “CAD” Can Help You Ensure You’re Medicare Compliant
Once you’ve already identified someone as a Medicare beneficiary (or someone with the reasonable expectation of becoming one within thirty months), the easiest way to make sure you’re compliant is to follow the acronym “CAD.”
The Unregulated New Frontier of Medicare Set-Asides
Consider this scenario: you represent a current Medicare beneficiary in a third-party liability case. As part of the workup of the case, you determine the client will need future medical care related to the injuries suffered, and you settle the case. Since the client is a Medicare beneficiary, the defendant will report the settlement under the Mandatory Insurer Reporting law as it is greater than $750 in gross settlement proceeds.