Medicare Set-Asides (MSA)
Medicare Set-Asides arrangements are developed in response to federal law section1862(b)(2) of the Social Security Act (42 USC 1395y(b)(2) that requires Medicare payment may not be made for any item or service to the extent that payment has been made or can be reasonably expected to be made under a worker's compensation law or plan. These arrangements are an attempt to ensure that Medicare's interests has been considered at the time of settlement. It is designed to pay for future medical expenses for an injured party that would have been paid by Medicare had the injury NOT been the responsibility of a primary payer. The MSA Allocator is part of a team effort in the overall process of submitting the necessary documents to the Center for Medicare and Medicaid for approval. It is desirable to have an MSA Allocator who has obtained additional advanced training in this specialty product and secured National Certification:
Medicare Set-Aside Consultant Certified (MSCC)