Medicare Set-Aside Allocation Reports

Medicare Set-Aside Allocation Reports

Medivest recognizes the important role we play in the settlement of workers’ compensation and personal injury claims and how imperative it is to understand and assist settling parties with Medicare Secondary Payer (MSP) compliance.  A Medicare Set-Aside Allocation Report (MSA allocation) is one of the first steps taken in an effort to consider Medicare’s future interest.  Medivest has an outstanding record for providing accurate and timely MSA allocations that allow the settling parties to confidently proceed forward with their settlement.

When should you consider having a Medicare Set-Aside Allocation Report prepared for your settlement?

  • If the injured individual is receiving Social Security Disability or Retirement
  • If the injured individual is eligible or receiving Medicare
  • If the injured individual is age-eligible or within 30 months of becoming a Medicare beneficiary

A Medicare Set-Aside Allocation Report is a detailed report indicating what the anticipated Medicare allowable, injury related expenses will be for the remainder of the injured individual’s life expectancy.  The Medicare Set-Aside Allocation Report provides the settling parties with a dollar amount that should be “set aside” out of the settlement to satisfy Medicare’s future interests.  Every Medicare Set-Aside Allocation Report produced by Medivest is written by a highly trained nurse and pharmacist that possess a wealth of knowledge and experience in the preparation of these reports.  We also have certified coders who review every allocation with the most up to date coding and pricing available.

 

Other Services Related to Medicare Set-Aside Allocation Reports:

Social Security and Medicare Eligibility -  Verification that the injured person’s Social Security and Medicare status though their local social security office.
Request and Verify Conditional Payments - Determination if Medicare has any outstanding conditional payments, or liens, that will need to be reimbursed at time of settlement and help to determine if there are any inconsistencies in the Conditional Payment Letter (CPL).
Non-Qualified Report – A detailed report of all the Non-Medicare covered items that are injury related.

 

These services prove to be invaluable to the settling parties and provide a clear indication of the steps necessary to successfully protect Medicare’s interests in a settlement, as well as to help the settling parties value the medical portion of the case.

We pride ourselves on maintaining the highest level of customer service, from our Medicare Set-Aside Allocation Report turnaround time to always making sure we are available by phone or email.  Our goal is to make sure that our clients’ needs are met and that expectations are continuously exceeded.  No matter where you are in the settlement process, Medivest will continue to work tirelessly to make sure that our clients’ needs are managed and held to the highest standards of quality.