Medicare Set-Aside

Determine Appropriate Set-Aside Amounts & 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.

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.

Cost Savings & Trusted Expertise

Genex boasts a high level of submission accuracy, with industry-leading CMS approval rates. We also employ unique strategies to help reduce MSA allocations. We will partner with you to navigate easily and thoroughly through the complexity of the MSA process. Our customer handling achieves rapid results and reduces turnaround time.

Services offered include:

  • MSA Allocation Reports
  • Medicare Secondary Payer Compliance Services
  • Life Care Planning 

Integrated model supported by:

  • Medicare trained nurses and certified life care planners
  • In-house attorney
  • Lien specialists

Need to Reduce Your Total Cost of Risk?

To help lower your total cost of risk and return injured workers to work as quickly as possible, we offer a FREE consultation with a workers’ comp expert. Together, we will begin to build a workers' comp program to meet your company’s unique needs.

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