Medicare Set-Aside

A Medicare Set-Aside Allocation (MSA) is a financial agreement that allocates a portion of a settlement for future expenses that would otherwise be paid for by Medicare related to a workers’ compensation injury, illness or disease.

The Centers for Medicare and Medicaid Services (CMS) suggests an MSA proposal for all settlements and that every case is individual.

CMS can obtain double recovery profits against insurance carriers, their legal counsel and their advisors—any council involved in a settlement—because of workers’ compensation, liability or no-fault settlements when the financial interests of CMS are not protected with an MSA.

We offer best practices with a clinical approach for formulating Medicare Set-Aside Allocation to remain compliant with Medicare. We provide MSAs for workers’ compensation, liability and no-fault settlements. MSAs can be formulated in conjunction with your life care plan for settlement or individually.

MLCC will improve your MSA claims and settlement outcomes.

Contact us to learn more.

Interested in learning more about Medicare Set-Aside?

Access our FREE On-Demand Webinar ``Medicare Set-Aside: Understanding the process and requirements to adequately allocate for the future.``

This webinar reviews the Medicare Set-Aside Payer Act, explains the Medicare Set Aside process, and discusses the varying types of MSA administration.

This webinar discusses:

  • The Medicare Secondary Payer Act
  • The Medicare Set-Aside process and requirements in settlements
  • Alternatives to the MSA
  • And MSA Administration

Presenters:

Cynthia Bourbeau, RN, CRRN, CCM, CNLCP®

April Pettengill, RN, CRRN, CDMS, CNLCP®, MSCC