Trying to make sense out of Medicare Set-asides. Providing and discussing practical advice for an unnecessarily complicated process.

Friday, March 02, 2007

Let's get started

This is my first post and thought we should explore the world of conditional payments. Technically, these are not related to MSAs, but are lumped together with MSAs because they involve Medicare and worker compensation (WC) claims.

While an MSA is a vehicle to protect Medicare from having to pay for medical costs after a WC case settles, conditional payments are medical costs improperly incurred by Medicare before the WC case settles. To properly settle a WC case both the MSA and conditional payment status should be addressed with CMS. For more info click here.

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