Did you know that CMS has a new amended review process? Both parties can benefit from this option. For example, what if the original MSA did not include a newly recommended and expensive procedure, or didn’t consider an admitted body part? Or perhaps an expensive procedure, such as a spinal cord stimulator, was done […]
Author: Ann S.
Conditional Payment in Dual PI/WC Claims
If a claim involves both a personal injury (PI) and a workers’ compensation (WC) claim, is it possible to have conditional payments under each? YES! This is important to note, because a conditional payment search through CMS under the workers’ compensation claim will elicit conditional payments which were paid by Original Medicare under […]
What to do with a Stale MSA?
When a proposed WCMSA amount has been closed due to inactivity for one year or more from the original date of submission, a full-file resubmission to CMS will be required. However, not all is lost! A stale MSA can be a great starting point for a future medical exposure evaluation. Additional claims or formally denied […]
What’s trending in the MSA world these days?
CMS Guideline Updates: New Trends by Carriers and CMS: As a result of the above trends, attorneys for injured workers should be prepared for more proactive “triage” endeavors by the carrier and MSA vendors prior to MMI or if an MSA is being done. Carriers are taking a more aggressive and proactive approach when approaching […]
New CMS Reporting
Say goodbye to the $24,999.00 Settlement to Avoid CMS Involvement! For years, parties sought to forgo Medicare involvement in settlements by closing out cases involving a Medicare beneficiary for just under the $25,000.00 review threshold. Reporting of workers’ compensation full and final settlements is now required for past or current Medicare beneficiaries, even in […]
Set Client Expectations!
Did you know? A Medical Settlement Specialists Future Medical Exposure Evaluation is more than just a cost projection. It is a powerful tool that can assist you and your clients in a number of ways. Our reports are often used on smaller cases to set a reasonable foundation for settlement negotiations and client expectation management. Check out […]
Did you know?
Medical Settlement Specialists works on cases of all size and complexity regardless of Medicare involvement. Our analysis provides valuable information regarding the type of future medical care needed, costs of associated exposure and leverage points for settlement. We look forward to working with you! Do you have questions about MSAs, how to value future medical care or […]
Proper understanding and valuation of Future Medical Care
Proper understanding and valuation of Future Medical Care is critical to the success of your settlement and for protecting Medicare’s interests when applicable. Medical Settlement Specialists provides strategic Future Medical Exposure Evaluations. Using our services allows you to save time, easily assess case value, determine carrier exposure, and develop reasonable settlement strategies. Our reports give you […]
A Medical Settlement Specialists Evaluation will:
Do you have questions about MSAs, how to value future medical care or posturing your cases for future medical settlement? Contact us for more information! Our step-by-step process to get MSS working for you couldn’t be EASIER:
What do we deliver?
What do we deliver?Strategic Future Medical Valuations on cases of all sizes for use during case planning and settlement negotiations regardless of Medicare involvementValuations supported by Medicare and/or state guidelines Support during settlement proceedings/mediation Bulk settlement capability (multiple cases with same carrier/defense – “Settlement Days”)Alliances with other consultants to offer a wide range of settlement options for […]