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RN CASE MANAGEMENT
VOCATIONAL/RTW
PREAUTHORIZATION
PEER REVIEW
MEDICAL BILL REVIEW
LIFE CARE PLANNING
CONSULTING

Click to see if you need an MSA
MSA Referral Form
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The Medicare Secondary
Payer (MSP) statute is having a significant impact on workers' comp and
liability claim settlements. Compliance with the statute can be a
cumbersome, if not bewildering, process that carries financial and
liability risks if not carried out properly.
It is critical to take the
MSP statute into consideration when a claim settlement meets certain
thresholds. Primary payers in workers' compensation and liability must
determine whether a Medicare Set-Aside Arrangement (MSA) is indicated
and whether it requires approval by the Centers for Medicare & Medicaid
Services (CMS).
Failure to take the right
steps can result in stiff penalties, including denial of future Medicare
payments to the claimant, and liability and substantial fines for the
employer, insurance carrier, and attorneys.
As a long-time trusted
resource in workers' comp and liability, Systemedic can help you manage
compliance with the Medicare Secondary Payer statute and set up, submit,
fund, and administer your MSA.
Our MSA professionals offer the following services,
customized and unbundled, so that you may choose only those specific
services you need:
MSA Analysis and Report
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Review records of prior
medical care & expenses
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Prepare MSA analysis &
cost projections
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Obtain CDC life
expectancy or rated age, as appropriate
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Prepare comprehensive
MSA report to aid in making a settlement decision, and to be used in any submissions to
the CMS.
Submission to CMS
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Collect CMS
required documentation
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Prepare report
and financial instruments
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Submit to CMS for
approval
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Perform lien research
with Medicare to determine existence of any conditional payments to
claimant
MSA Funding
Post-settlement
Administration
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Educate claimant
regarding Medicare covered expenses and proper procedures
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Reduce to state fee
schedule and pay Medicare eligible medical expenses from MSA account
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Provide annual reporting
to CMS
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Distribute MSA
account balances upon death of claimant
To inquire about
Systemedic's MSA services, call 501.227.5553 or 800.822.2680, or email
MSA@systemedic.com
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To submit a referral,
print and complete the PDF Referral Form below and return to Systemedic by mail,
fax or email:
Systemedic MSA Services
10809 Executive Center Drive, STE. 105
Little Rock, AR 72211
Phone: 501-227-5553 or
800.822.2680
Fax: 501.227.8362
Email: MSA@systemedic.com
The following forms are
provided for your convenience, if you need them:
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