The Centers for Medicare and Medicaid Services (CMS) has signaled its intent to expand its voluntary Workers Compensation Medicare Set-Aside review program to liability. However, CMS is not expected to announce a liability review process any time soon, leaving parties to settlements uncertain of how to ensure settlements protect Medicares interests.
To provide context and guidance on Medicare Secondary Payer considerations in liability settlements, especially future medicals, Tower MSA Partners has published a white paper Navigating Through the Fog: Medicare, Future Medicals & Liability Settlements. Written by Towers Chief Compliance Officer Dan Anders, the white paper can be downloaded from https://tinyurl.com/WPTower .
There is a great deal of uncertainty among the legal community, Anders said. Lawyers are concerned that CMS may seek reimbursement from attorneys, injured parties and even insurers or just simply deny payment for injury-related medical care.
The white paper reviews the incremental process CMS has taken to address liability settlements to date, explains CMSs authority to implement a Liability Medicare Set-Aside (LMSA) review program, and offers advice to settling parties who are currently handling liability settlements.
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Headquartered in Delray Beach, Fla., Tower MSA Partners provides pre-MSA Triage, MSAs, physician peer reviews, CMS submissions, MSA administration, medical cost projections, life care plans, conditional payments, and Section 111 reporting. Tower leverages leading edge technology to proactively stage claims and works collaboratively with clients to identify issues and intervene to modify outcomes. Tower remains involved in the claims, through final resolution, MSA and/or other settlement. This model enables Towers clients to provide better care to injured workers, reduce claim and MSA costs, and obtain CMS acceptance of the MSA. For more information, visit www.towermsa.com and www.mspcomplianceblog.com.