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MEDICARE SET-ASIDE ANALYSIS & ADMINISTRATION FOR PERSONAL INJURY PLAINTIFFS ONLY

SPI’s The Plaintiff’s MSA and Lien Solution has already saved personal injury victims millions in Medicare Set-Aside overfunding.

A Medicare Set-Aside (MSA) is an amount that is voluntarily “set aside” from a personal injury settlement to pay for injury-related, Medicare-allowable, healthcare expenses during the Medicare beneficiary’s lifetime. A voluntary MSA effectively caps a plaintiff’s exposure to Medicare for settlement-related and Medicare-allowable expenses, limiting the amount of money Medicare-allowable costs can claim from a settlement.

The smaller the MSA, the more settlement dollars your client has left for other important expenses.

Our MSA Allocation Service is the settlement industry’s finest and most strategic:

  1. Registered nurses review and audit your client’s medical and billing records before creating an MSA Allocation Study. (If the victim’s circumstances qualify, we’ll provide a letter stating that no MSA is required – avoiding MSA funding entirely.)
  2. If an MSA is required, it is rigorously prepared by our RN-MSCC credentialed nurses. Our RNs challenge unrelated past medical, overstated amounts and unnecessary treatments to strategically minimize the MSA amount.
  3. Finally, SPI has developed innovative strategies for reducing MSA funding requirements even further for eligible settlement recipients.

Keep more settlement dollars in your clients’ pockets with MSA services from SPI’s The Plaintiff’s MSA and Lien Solution. Contact ustoday for more information about this revolutionary approach.

pdf iconMSA ALLOCATION SERVICE FORM WITH SERVICE FEE SCHEDULE

MEDICARE SET-ASIDE ANALYSIS

SPI’s The Plaintiff’s MSA and Lien Solution wants you to keep as much of your settlement as possible. We have the industry’s most thorough and knowledgeable analysts fighting to help you avoid or minimize the amount you set aside to pay Medicare-allowable future expenses.

By law, Medicare is a secondary payer. If you have any other means of payment – including a settlement or award – that coverage must be used to pay for the injury-related, Medicare-allowable medical expenses. This can leave you with little or nothing of your settlement left.

To avoid having to expend the equivalent of your entire settlement on Medicare-allowable future expenses, you can voluntarily create and fund an MSA account. This begins by obtaining a personalized and strategically-minimized MSA allocation analysis from us.

Our registered nurses will personally interview you, analyze your medical and billing records, and then create a recommended MSA allocation. This minimized allocation account (usually a small fraction of the settlement) is then placed into a professionally-administered MSA account.

By law, once the plaintiff’s MSA account has been used up, Medicare is then responsible for paying the plaintiff’s Medicare-allowable, settlement-related medical bills for the rest of their life. If the plaintiff passes away with money remaining in their MSA account after all the final bills have been paid, the balance is then paid to their estate or named beneficiaries.

A Medicare Set-Aside, as the name suggests, is money from your settlement that has been “set aside” to cover these expenses. The more money you set aside, the less money you have for all the other things you need. Our goal is to help you strategically minimize the amount that goes into a Medicare Set-Aside account.

MEDICARE SET-ASIDE ADMINISTRATION

Make sure you are preserving your Medicare eligibility. SPI offers professional administration services that comply with the Centers for Medicare and Medicaid (CMS) rules. Whether through a trust arrangement or custodial agreement, professional administration gives you the confidence that your Medicare Set-Aside is being properly managed according to Medicare’s strict guidelines.

Our professional administrators will review your medical bills to identify opportunities to reduce expenses, negotiate bills, pay Medicare-covered expenses and communicate with medical providers. We will also report your MSA expenditures to the CMS, advising them when the exhaustion of your MSA results in Medicare becoming your primary coverage provider.

Click the PDF image below to download our simple MSA Allocation Study Service Packet. This packet contains a cover letter of instructions and two simple release forms (three if a Work Comp case) to get started on this important service.

pdf iconMSA ALLOCATION SERVICE FORM WITH SERVICE FEE SCHEDULE