Ensuring a favorable and appropriate Medicare Set-Aside (MSA) decision is the result of careful attention to the thousands of relevant details that are generated by the underlying legal case
Pursuant to the Medicare Secondary Payer law (42 U.S.C. § 1395y(b)), when Medicare makes these conditional payments to health care providers, it has the right to be reimbursed for those expenses...
Ensuring a favorable and appropriate Medicare Set-Aside (MSA) decision is the result of careful attention to the thousands of relevant details that are generated by the underlying legal case
Many insurers are perplexed about their obligation, if any, to generate a Medicare Set-Aside account for their insureds who are injured in a no-fault situation or through the negligence of another.
CompEx has been serving the Insurance and Risk industry since 2000. We have over a decade of experience handling Medicare related issues and have concentrated on providing Medicare Set Aside services to carriers, third party claims administrators, self-insured corporations, governmental entities, defense attorneys and structured settlement brokers since 2002.
As is typical in every state-based worker's compensation (WC) case, determining relevant legal factors requires a balance of both state and federal law. The arrival of the COVID-19 pandemic and the workplace challenges it poses require employers to perform that same federal/state balancing act when their workers contract the disease.