Medicare Compliance Services
Get expert guidance for Medicare compliance.
Simplify Medicare compliance with our solutions, which leverage integrated technology and our Medicare Secondary Payer Consultant nurses. We create tailored solutions that comply with requirements from the Centers for Medicare (CMS) from start to finish.
Workers' Compensation Medicare Set-Aside
Creating a Medicare Set-Aside (MSA) during your claims process helps protect your settlements by allocating a portion of your settlement for future medical expenses related to a workplace injury. A strong MSA will lock in your medical payment responsibilities and save you from future expenses.
How it Works
- A MSP-certified, multidisciplinary nurseWe will assign a dedicated nurse to assist the adjuster through all elements of Medicare Secondary Payer (MSP) compliance, including preparing the MSA report, securing CMS approval, resolving Medicare Conditional Payment debt, and reviewing Medicare Reporting.
- Real-time medical data access in CareMC EdgeYour nurse has access to all current data and documents in CareMC Edge, supporting accurate MSA allocations and successful Medicare debt appeals.
- Quick turnaround guaranteedYour MSA report will be completed within 7-10 business days, and we will provide responses to Medicare Conditional Payment letters in 10 days or less.
Medicare Services
Our multidisciplinary nurses are the key to unlocking better Medicare solutions.
- Comprehensive MSA Allocation Reports
- Beneficiary Status Verification
- Obtainment of Rated Age Information
- Medicare Conditional Payment Resolution
- MSA Report Submission
- Executed Settlement Documents Submission
- Final Demand of Conditional Payments
- Professional MSA Funds Administration
- Life Care Plans and Future Cost Projection Reporting
- Reserve Setting Reports
- Legal Nurse Consultant Services
Ready to get started?
Our team is ready to answer any questions and help you find the right solutions.