| 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 care can be assessed for inclusion in an updated MSA, or used for leverage to optimize settlement negotiations. There are also situations where an MSA was approved by CMS years earlier, but the case has still not settled. In this circumstance, we assess the claims and assist you in determining an effective course of action to posture the case for settlement. For example, additional MSAs can be submitted if necessary for new claims that have been added, or if criteria are met, an amended review can be requested if Medicare treatment needs have changed. We can help you determine if it will be more effective to assess the exposure value of emerging items without taking additional procedural actions. As with all our MSA reviews, we will also provide allocations for items not covered by Medicare and identify additional areas of carrier exposure to be considered for settlement. Let us be a resource for you in deciding the most effective and efficient path to take when dealing with stale MSAs! 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:
- 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!