We help our clients understand and establish the amount of funds needed to satisfy the Medicare Secondary Payer (MSP) requirement for each case. By utilizing our unique RiskPro® technology and professional services, we have created cost-effective Medicare Set Aside (MSA) solutions for our clients.
After receiving all the information required by Medicare, we produce an MSA for review within approximately two weeks. We can help you decide if a Medicare Approval or other compliance is necessary. Contact us today for a free consultation with one of our partners to understand your responsibilities for Medicare Secondary Payer compliance.
The Law Firm Lucarelli & Castaldi, LLP concentrates on representing victims of accidents in personal injury cases. One of the most important aspects of our representation is to ensure that our client's interests are properly protected when it comes to Medicare. For years, Robert Blackburn and the Blackburn Group have been effectively guiding Lucarelli & Castaldi, LLP and our clients through this often complicated and confusing Medicare Set Aside Process. When Medicare is involved, The Blackburn Group is indispensable. They are an asset to our Firm and a resource that we simply cannot do without.
Thomas A. Lucarelli, Esq.
Lucarelli & Castaldi, LLP in Staten Island, NY
What is a Medicare Set Aside (MSA)?
In Workers Compensation, No Fault and Liability personal injury cases, Medicare requires that a portion of the settlement proceeds be “set aside” to pay for future medical care and medications related to the lawsuit.
Medicare Secondary Payer Background
Medicare Secondary Payer (MSP) and associated State Medicaid statutes are the terms generally used when the Medicare and Medicaid programs do not have primary payment responsibility for personal injury cases.
Under the two governing statutes of the Social Security Act, the Medicare and related programs may not pay for medical expenses when a payment “has been made or can reasonably be expected to be made under a workers’ compensation plan, an automobile or liability insurance policy or plan (including a self-insured plan), or under no-fault insurance.” (See CMS Coordination of Benefits and Recovery.)