Medicare Set-Asides
Future Medical Allocations 101
If you’re looking for a way to increase your settlements (and who isn’t?), then Future Medical Allocations (FMAs) could be the answer. FMAs are a great leverage tool and are used to provide client protection and maximize case value. They safeguard a plaintiff’s future benefits and protect the firm from unnecessary risk. Any case…
Read MoreWhat Kind of Cases Benefit from a Future Medical Allocation?
Do you have questions about what kind of cases benefit from projecting out future medical costs? Let’s take a look at a few scenarios: Any case that has any future care with some treatment and Rx. If you feel like you can increase your case by $5k, you can utilize our allocation. This includes…
Read MoreDo you need an MSA? Questions to Ask
Wondering if you need an MSA for your Auto or Liability case? Medicare Set-Asides are a vehicle to make certain that Medicare maintains its “secondary payer” status. If payment can reasonably be expected to be made under an automobile or liability insurance policy, they are defined in the statute as a “primary plan.” It then…
Read MoreWhat Does an MSA Cover?
Do you have cases that need a Medicare Set-Aside (MSA)? Or maybe a Medical Cost Projection is a better fit? Let’s review what IS and IS NOT in a Medicare Set-Aside. Medicare Set-Asides cover the basics of medically necessary treatments and prescriptions: Medicare Part A Covers: Hospital care, home health care, skilled nursing facility,…
Read MoreTodd Franklin Presenting at Lake County Board of Commissioners’ Workers’ Comp Seminar
MASSIVE’s CEO, Todd Franklin, will be presenting at the Lake County Board of Commissioners’ 7th Annual Workers’ Compensation Seminar in Crown Point, Indiana on Friday, December 9 at 11:30 a.m. CST. Key content to be examined includes: Laws and Regulations Behind MSAs Version 3.6 Update LMSA Requirements: A Technical Review What Does CMS’ Proposed…
Read MoreRyan Weiner, COO of MASSIVE, Presenting at 2022 WILG Annual Convention
Ryan Weiner, Esq., MASSIVE’s COO and experienced lien resolution attorney, joins other industry experts to present at the 2022 Annual Convention. Ryan and the panel will be discussing Medical Liens, Medicare Set-Asides (MSAs), and Administration, along with a Q&A session at 2:15 p.m. (MST) on Friday, September 30. Be sure to register for the…
Read MoreWhy Private Insurance isn’t a Replacement for MSAs
Medicare Set-Asides (MSAs) are not required by law. Rather, MSAs are designed to prevent Medicare from paying for case-related care after a settlement. But wait, doesn’t other insurance prevent Medicare from paying for that future medical care too? It does. If it will pay. Many health insurance plans will not cover case-related care…
Read MoreMedicare Set-Asides: How Do You Know Your MSA is Enough?
Medicare Set-Asides (“MSAs”) are not a legally required tool. But they have significant value in protecting funds that will pay for an injured-person’s post-settlement, future medical care. These funds are necessary because 42 USC 1395y makes it illegal for Medicare to cover that medical care. But how can you be certain your MSA is enough?…
Read MoreDon’t Miss Ryan Weiner, Esq. Tomorrow July 14 at the 2022 WILG Northwest Regional Conference!
The 2022 WILG Northwest Regional Conference features MASSIVE’s COO, Ryan Weiner, Esq. as one of the speakers. Ryan is presenting “What the Law Says About MSAs” on July 14 at 2:45 p.m. (PT) and will discuss the complexities of NSMSAs and EBMSAs and offer tips on how to best navigate Medicare Set-Asides. Key content…
Read MoreWhat the Law Says About MSAs
Medicare Set-Asides are never discussed in any United States’ statute. Even the term “protect Medicare’s interest” isn’t in the Medicare Secondary Payer Act. That term comes from a 2005 “Q&A Memorandum” from CMS. So, what does the law say? 42 USC 1395y(b)(2)(A) states that Medicare may not make payment for case-related care if…
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