Determine appropriate set-aside amounts and secure Medicare approval
Workers' Compensation payers are under increasing pressure to consider and protect the interests of Medicare when settling claims. In fact, under federal law, any entity found to be shifting the burden to Medicare to pay for future medical costs related to an injured individual's workers' compensation/liability/automobile injury, accident, or illness can be held liable for double damages, penalties, and fines.
In order to protect Medicare interests, an appropriate amount of settlement money should be "set-aside" for the payment of future medical costs that might otherwise be paid by Medicare. Genex’s Medicare Set-Aside (MSA) program assists in meeting these obligations.
Life Care Planning
Life Care Planning allows adjusters and attorneys working with disabled individuals to plan for the future with the knowledge of when and how the expenditures for care will be allocated, allowing for financial planning and the setting of reserves from provider sources. Life Care Plans also provide an excellent tool for claim settlement negotiations.
Highly-qualified Genex professionals, with more than 25 years of experience in Life Care Planning, are able to accurately establish and quantify medical damages resulting from an injury. We provide a detailed outline of the current and future medical, vocational, educational, and psychosocial needs of a catastrophically ill or injured individual, while projecting the related costs annually or over the individual's life expectancy.
- CMS Consent to Release Form
- Genex Authorization to Disclose Form
- MSA Request for Service Form
- Social Security Consent to Release Form