Post-Settlement Administration is critical:
The Centers for Medicare and Medicaid Services (CMS) has adopted specific requirements regarding the administration of Medicare Set-Aside (MSA) Accounts. These requirements include proper bank account establishment, accurate reporting of Medicare-allowable medical expenses, appropriate provider disbursements, and submission to CMS of the necessary reporting on account activity. These requirements are complex and are applicable whether the account is administered by a professional or self administrated.
It is critical that the account be properly used, documented and administered. Failure to follow the CMS requirements can jeopardize future Medicare benefits and create liability for industry professionals involved in the claim resolution process.
Peace of mind provided through proper administration:
Industry professionals involved in the claim resolution process and claimants can gain peace of mind by taking advantage of our expertise and knowledge. Our professional Administration services include:
Medicare Set-Aside (MSA) Account Administration
Our knowledge and expertise is focused on the preparation of the MSA custodial agreement, establishment of a MSA bank account, communication with medical providers, payment of allowable medical expenses and completion of the required accountings and reports to CMS. But most importantly, comprehensive and transparent accounting to the claimant. Additionally, our resource center can provide reversionary interest agreements if desired.
MSA Self-Administration Support Services
Not all MSA accounts require professional administration. Under appropriate circumstances, an individual can administer his/her own MSA. Our resource center can provide knowledge, forms, and the resources necessary for self-administration of a MSA account. Additionally, our professional support services are available for 1 year following account activation through our toll-free help line. Industry professionals involved in the settlement process can rest assured that due diligence has been taken in regard to these self-administered MSA accounts.
Medical Custodial Account (MCA) Administration
A MCA can be used in a variety of ways to extend and preserve all or part of medical settlement dollars. Often used in conjunction with a MSA account, professional administration can provide access to services post-settlement that would otherwise not be available on a discounted basis. These services can include case management, care coordination, discount medical equipment, and discount network and mail order pharmacy services.
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