LIABILITY MEDICARE SET-ASIDE (MSA)

Medicare Set-Aside reports, written by properly-credentialed Registered Nurses, provide a concise medical summary of all medical records of the previous two years, along with a current and future treatment plan.

The MSA report includes all injury-related diagnoses with the associated ICD code, financial details, and comments referencing medical notes or guidelines to support the recommendation.

At the time of settlement, our team will educate your client on how to administer their MSA account and answer any questions.

QUALIFYING FACTORS FOR AN MSA:

• 62.5 Years of Age (30 months within receiving Medicare)
• 65 Years of Age, Receiving Medicare
• Anyone Receiving SSDI Benefits
• Receiving SSDI Benefits and Settlement Over $250,000
• Catastrophically Injured
• Diagnosed with Black Lung or End Stage Kidney Disease

REFERRAL REQUIREMENTS (per CMS Guidelines)

• Medical Records for Previous Two Years
• Payout Ledgers, Billing Ledgers, LOPs from All Providers for Previous Two Years
• Medication / Pharmacy Print Out for Previous Two Years

A Medical Cost Projection (MCP) is an evidence-based medical report that provides a complete medical records summary along with a financial analysis of future medical costs.

MCP reports are appropriate for cases involving auto-liability, medical malpractice, slip and fall, and third-party liability case. They are a useful tool for an initial or final demand. 

For MCP's destined for trial we offer a double verification signature by a Board Certified Orthopedic Surgeon, for an extra cost of $500.  This would make a very formidable opponent to an expensive Life Care Plan.

QUALIFYING FACTORS FOR AN MCP:

• Anyone who has multiple injuries
• Anyone with multiple treating providers
• Anyone who has had a TBI, Loss of Limb, Burns, or Spinal Cord injuries

Using published standards of care and practice, a Life Care Plan (LCP) provides an evidence-based comprehensive assessment of current and future medical needs, relevant data analysis, and research. This organized, concise plan includes associated medical costs for individuals who have been diagnosed with catastrophic injury or have chronic health care needs.

 A life care plan critique is a comprehensive evaluation of a life care plan, which is a document that outlines the necessary medical and non-medical care for an individual who has suffered a catastrophic injury or illness. The critique is typically performed by a qualified expert in life care planning, such as a nurse or rehabilitation specialist, who is independent of the original life care planner.

The purpose of the life care plan critique is to evaluate the adequacy and reasonableness of the proposed care plan, and to identify any inconsistencies, inaccuracies, or omissions that may affect the quality and effectiveness of the care provided to the individual. The critique may also assess the cost of the proposed care plan and compare it to industry standards.

A Medical Demand Chronology and Future Medical Expense Report assists attorney firms with composing medical chronologies and future medical expenses for their demands. 

The report focuses on summarizing the personal injury claim beginning with the injury occurrence and ending with the most current medical treatment. The final assisted report showcases all accident events, provides an overview of facts, and includes an in-depth medical chronology / summary.

To set the tone for a successful settlement, Cypress Reporting also provides a summary of future medical expenses. Our team of experts is well-versed in medical chronologies and future medical care and expenses.