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Learning about MSAs
WCMSA Helpful Hints – Part 5 of 10
Submitting a Workers’ Compensation Medicare Set-Aside Allocation (WCMSA) is simpler in theory than in practice. Below is a common error often made when submitting a WCMSA to the Centers for Medicare & Medicaid Services (CMS), as well as some helpful hints to avoid the error. If you need more information or further help with settling claims or setting up a Medicare Set-Aside for a client, call 855.931.3003 or fill out the form.
Helpful Hint*
- Submit gross total settlement amount as a single lifetime number. If annuities are involved, use the lifetime payout amounts in the total instead of annuity purchase prices, and include the annuity rate sheet to support your calculation. Include in the total all attorney fees, proposed set-aside amounts for medical services and/or prescription drugs, settlement payments of past medical expenses/liens, amounts for non-Medicare medical expenses, settlement payment of any Medicare conditional payments, amounts of previous settlements, any third- party liability settlements and amounts of any waived or forgiven liens/expenses at settlement.
- References to attachments without stating a settlement number generally result in a development request. If you are unsure of the total amount, call the Workers’ Compensation Review Contractor (WCRC) at 833.295.3773 for assistance in computing the number.
Don’t take unnecessary risks during settlement! Protect your clients’ Medicare benefits with a MSA. To get started or even if you just have questions about a particular case you’re working on, contact Medivest at 855.931.3003 or fill out the form.
