The Medicare Set-Aside Process
Evaluation to determine if an MSA is required
Obtain signed releases
Determination of Social Security Disability and Medicare Status
Determine if an MSA is required based on the CMS requirements
Notification to client regarding entitlement status and MSA recommendations
Medicare Set-Aside Allocation
- Review last two-three years of medical records
- Review and obtain last two years of claims payout history
- Prepare future Medical Cost Projection of Medicare expenses as related to the work injury
- Obtain Rated age and Life expectancy
- Assist in resolving any Medicare lien issues
- Written report which includes injury description, all CPT and ICD-9 codes, summary of medical care, current treatment plans, future treatment plans, Medicare and Social Security disability status, pre-existing/co-morbid conditions, and allocation amount
Vitality Care, LLC has a reputation of getting a response from CMS in one month. Whereby most companies it takes them 3 months to get a response. So give Vitality Care, LLC a try when you need assistance with your next Medicare Set-Aside.
