It is essential to have counsel who understands the complexities involved with the advising and analyzing Medicare’s interests, including Medicare Set-Asides.

Precision has two Medicare Set-Aside Consultant Certified (MSCC) attorneys on staff to assist you and your clients with Medicare Set-Aside matters.

Workers’ Compensation Medicare Set-Aside Allocation Submission

The following is the CMS suggested submission criteria for a WCMSA:

    • The claimant is currently eligible for Medicare and the total settlement value is greater than $25,000.00, or;
    • The claimant has a reasonable expectation of Medicare enrollment in 30 months or less and the total settlement is greater than $250,000.00.

Click here to download a copy of the official CMS Workers’ Compensation Medicare Set-Aside Reference Guide (v. 2.2, May 29, 2014).

 

New Case Sumbissions

Below you can download the intake documents required to initiate Precision’s Medicare Set-Aside services. Once you have downloaded, completed and collected the intake document call Precision’s Senior MSA Analyst, John Riccardi, Esq., MSCC at 888-961-LIEN and he will walk you through the submission process.

In an effort to prepare the most accurate Medicare Set-Aside Allocation Proposal, Precision will require the following items to be submitted along with Precision’s standard Intake Form:

  • Precision Intake Form;
  • Records/Reports from Claimant’s Treating Physician(s) from the Past Two (2) Years;
  • IME Reports from the Past Three (3) Years; and
  • Bill of Particulars (If Applicable)