To ensure any subrogation interests held by Medicare are satisfied pursuant to the MSP Act and regulations, Medicare recovery claims must also be resolved. If the Centers for Medicare & Medicaid Services (CMS) determine the set-aside amount is adequate, Medicare will agree to primary payer status once the MSA funds are exhausted. This involves setting aside a portion of the settlement funds to cover injury related medical care that would otherwise be covered by Medicare. Medicare’s preferred method of compliance is for the settlement to include funding of a Medicare Set-Aside (MSA). When settling claims, parties must consider Medicare’s interests under the Medicare Secondary Payer (MSP) Act. Our courteous and knowledgeable staff are accessible and eager to provide prompt answers to your questions. We communicate closely with the Workers’ Compensation and Liability attorneys as well as the Self Insured or Insurance Carrier to ensure compliance with Medicare’s statutes and regulations. Founded in 1995, this firm assists counsel, insurance carriers, self-insured employers, and third party administrators in settling workers’ compensation and liability claims while preserving the claimant’s Medicare eligibility.
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