With a focused, customized approach, our Medicare team provides clients with substantial cost savings when settling claims involving potential Medicare Secondary Payer issues. Our clients appreciate the experience and accountability we offer in analyzing the complex Medicare issues in Workers’ Compensation and Liability Settlements that many outside MSA vendors simply cannot match. We work with our clients to develop a strategy for addressing and resolving important Medicare issues such as:
- Is the plaintiff a Medicare beneficiary?
- Is there a Medicare conditional payment lien?
- Is an MSA even appropriate?
- How much should be allocated to fund an MSA?
- Can the settlement even be submitted to CMS for review?
- How do we consider Medicare’s interests in a liability settlement if there is no submission process?
- How do we consider Medicare’s interests in a workers’ compensation settlement if it does not fall within the review thresholds?
Before you make the referral, we will provide an informal consultation to determine what steps need to be taken. If no MSA is recommended, then we can provide an opinion letter for a flat-fee rate to document our analysis. If a formal MSA is appropriate, then we can prepare the MSA and make the submission to the Centers for Medicare & Medicaid Services (CMS) for approval, including zero-dollar allocations. If you only need a future medical cost projection, we can assist in getting this prepared. Knowing your case, from initial claim to ultimate resolution, means measurable results, tailored solutions, and real cost savings.
Pricing
Please contact us for our latest flat-fee and hourly pricing options.
We offer free consultations, either by phone or email, to identify which of our services, if any, are recommended prior to formally engaging our services. Consider us your “lifeline” during mediation or at any stage of your settlement negotiations.