Articles tagged with: Medicare Set Aside
Uncategorized »
The American Association of Nurse Life Care Planners (AANLCP) annual conference is coming together and we are so excited to announce one of our preconference presenters. Shelene Giles of FIG Services, Inc. will present Medicare Set-Aside (MSA) Education. This Course is taught from a medical perspective. The course includes:
An overview of Medicare/Medicaid
Understanding of the Medicare Set-Aside process
How to request, organize and review medical records that are pertinent to the MSA process
Effective communication with health care providers
Determining future medical care to be included in the MSA report
Identifying Medicare’s coverage and the …
Medicare Set Aside »
There has been much discussion on liability MSA’s. Are they needed? Not necessary? Conflicting reports and a statement by the AAJ has continued to make things complicated. As a Medicare Set Aside allocator, my position is that Medicare’s interest must be protected per Section 111 of the MSP. I have outlined a simple equation here for quick reference.
Mr. Synder recented posted a comment on LinkedIn as to his thoughts. I found it well stated.
Link to statement by AAJ
Nothing in the quotes AAJ cites undermines the insurance industry’s position. Medicare could …
Legal Nurse Consulting, Medicare Set Aside »
Is there future medical care involved? Is there a permanent shift of burden? These things may equate to the need for an MSA (Medicare Set Aside). Use this equation to determine if an MSA is necessary in your legal case.
FCC + PBS = MSA
The requirement is to protect Medicare’s interest (per SCHIP Section 111)
This can be accomplished formally or informally. A more formal protection of Medicare’s interest would be in the form of an MSA report.
MSA (where FCC = Future Cost of Care; PBS = Permanent Burden Shift, and MSA …
case management, Legal Nurse Consulting, Workers Compensation »
Claimant Mary Ferreira entered into a settlement agreement that included funds for her to establish a Medicare Set-Aside account. The contract stated that Ferreira, not the employer or carrier, be responsible for administering the account. The agreement also provided that the employer/carrier would deposit seed money in the amount of $10,851.08 and $33,694.64 for the purchase of an annuity that would yield $2,154.18 per year, and that amount was final, not subject to change or approval by CMS.
The parties also agreed that if CMS demanded a larger amount, Ferreira would …






