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 cases that do not involve CMS review or approval, including:
- Settlements where the parties obtain a workers’ compensation MSA (WCMSA), indemnified MSA, evidenced-based MSA, or otherwise allocate money for future care but have not submitted to CMS for approval
- Settlements where the parties provide a zero-dollar MSA
- Settlements involving a WCMSA where the total settlement value does not meet applicable Medicare review thresholds for CMS submission
- Settlements involving CMS approved WCMSAs
Therefore, it is now more important than ever to have an accurate assessment of future medical care costs, even on smaller cases! It is essential to understand the reasoning for the determination of future medical value described in settlement documents. Even with a zero-dollar future medical allocation, the parties should understand the verbiage and documentation for the zero allocation that will be reported to Medicare.
Get peace of mind and accurate information by using Medical Settlement Specialists. We have assisted Applicant attorneys understand future medical exposure for over 25 years. With our expertise in Life Care Planning, Future Medical Cost Projections, and Medicare Compliance, we provide a cost-effective and simple analysis for zero MSA and smaller settlement cases.
For cases requiring a more thorough analysis and workup, we will provide an accurate assessment of future medical costs along with additional information regarding carrier exposure to optimize your leverage during settlement negotiations.
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!
Questions about MSAs, future medical cost projections/life care plans or posturing your cases for future medical settlement? Click here for more information.
Our step-by-step process to get MSS working for you couldn’t be EASIER:
- Use our client portal at medicalsettlementspecialists.com to
complete a case intake form and upload documents. - On our intake form, tell us your settlement goals (for example, understand the medical exposure, help educate your client regarding their potential risks/benefits of settlement, review an MSA for accuracy, identify non-Medicare covered items, review contested body parts that may be related, etc.)
- Once you receive your draft report, schedule time to learn the best ways to utilize this powerful TOOL we have built for you!