Practice Groups

Medicare Secondary Payer (MSP)
Compliance Services
MSP Compliance Services for Workers’ Compensation and Liability Claims

 

IFMK’s Medicare Smedicare_crop_842_560econdary Payer (MSP) practice assists clients directly with MSP compliance by identifying and managing potential Medicare exposures that can stem from non-compliance. Our attorneys advocate for our clients in defending, mitigating and resolving MSP issues through litigation.

We offer Medicare evaluations at the initial onset of complex claims to determine if past and future medical expenses may create potential exposure.. We have successfully helped many clients avoid post-settlement reimbursement to Medicare, as well as potential civil penalties and interest.

 

Support and Guidance in MSP Management and Compliance
  • Assessment of claims and pre-settlement or pre-trial planning to address potential exposure for past and future Medicare-related medical expenses
  • Investigation, negotiation, and resolution with Medicare, where it has made conditional payments of past medical expenses
  • Preparation and submission of Medicare Set-Aside Arrangements (WCMSAs or LMSAs) to obtain Medicare’s approval of low-cost settlement plans for future medical expenses
  • Coordination of claimant administration or professional administration of Medicare Set-Aside Arrangements
  • Coordination and planning for annuity-based funding of Medicare Set-Aside Arrangements
  • Settlement planning and drafting of settlement documents to address potential Medicare exposures
  • Coordination and implementation of Mandatory Insurer Reporting programs in compliance with federal laws
  • Coordination and development of in-house protocols for insured and self-insured Medicare Secondary Payer compliance programs