Medicare Set Asides


CostDriversEK Health offers an all-inclusive suite of services for Medicare Set Aside Services (MSA) to Insurance Carriers, TPA’s, Self-Insured Companies and Employers. Our MSA services are designed to meet a client’s specific needs and to help ensure cost-effective compliance with the Medicare Secondary Payer (MSP) Act, along with timely response to MSP’s ever-changing requirements.

Click here to read CMS' Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide issued January 5, 2015.

Services offered include:

  • Medicare and Social Security Disability Verifications
  • Comprehensive Medicare Set-Aside Assessments
  • Liability Medicare Set-Aside Assessments
  • Submission of Medicare Set-Asides to CMS
  • Negotiated resolution of Counter Higher allocations received from CMS
  • Future Medical Allocations
  • Non-Threshold Medical Allocations
  • Conditional Payment Investigations

 

 
EK-Health-Tab Team 1.20
  • Dedicated medical professionals
  • Exceptional customer-service
  • Quality results with incomparable turnaround time
EK-Health-Tab Process 1.20
  • Cost containment and case settlement through evidence-based medicine
  • Identify problematic cost drivers
  • Proven reliability in effectively assessing and managing medical treatment
EK-Health-Tab Technology 1.20
  • Electronic referrals
  • Customize reports
  • Real-time reporting, providing up-to-the-minute case information
  • In-depth data mining capabilities for detailed analysis of medical expenditures

 

 

Testimonials

"Dynamic and innovative are the words that best describe EK Health's MSA services. When dealing with the problems that we face in complying with vague and inconsistent policies and procedures created by CMS, having a partner like EK Health is essential. Most MSA companies use a cookie-cutter/paint by numbers approach, which causes delays in the MSA approval process which can cause the amount of the settlement to increase or sometimes cause an entire settlement to fail."
Attorney At Law,
a California Legal Firm
"I've been very pleased with the responsiveness and knowledge of your company's representative, who is an outstanding resource. After 43 years of handling WC cases, I've endured some really unfortunate delays in resolving high exposure claims while dealing with some of your competitors that have cost a lot of money and, sometimes, a whole settlement! I consider EK Health to be a real and valuable ally and look forward to a prompt and reasonable resolution in a complex matter in which we are currently engaged."
Attorney At Law,
a California Legal Firm
"I really appreciate your constant follow through. While at times there have been some issues, you have dealt with them very frankly and head on. You and your team have done an outstanding job on the turn around on your MSA’s. I will be routing your our next several MSA’s. Thank you for your continued dedication to our account ."
MSP Compliance Coordinator,
a Self-Insured Employer
 
 
 

MSA Forms:
Please complete requested forms and send to EK Health Services, Inc.