Medicare Set Aside Allocation Services
Royal Medical Consultants' MSA Staff provide a single point of access of services
A Social Security-Medicare eligibility search to determine requirements
A Comprehensive file review to determine if an MSA allocation is necessary
Medicare Set Aside Allocations (Simple, Standard, Median, and Complex)
Assistance with legal issues, compliance, administration and settlement documents
CMS Submission to appropriate COBC
Lien Research and Negotiations
Discrepancy Negotiations by Physicians
Our Staff is composed of Medicare Set Aside Certified Consultants, Nurses, Medical Doctors and other highly trained support staff with extensive experience in the insurance industry. Additionally, we have a consulting staff of Physicians to review and respond to all CMS issues and/or request for additional funds. The rebuttal panel is comprised of licensed and practicing physicians (in their specialty) who will conduct an evaluation of the future medical needs and costs. Their evaluation is based on nationally published and accepted resources coupled with their professional medical opinion regarding necessity and standards of care and practice.
The following focus will occur with review of the file for an MSA:
Age, Gender, Geography, Occupation
Jurisdictional issues and/or defenses
Medical history, details of injury, surgeries, outcomes and treatment plan
Compensability/Casualty
Medications
MSA Flat Rate Pricing. Based on the complexity of the file or injury type, we provide affordable and competitive MSA flat rate pricing:
Social Security / Medicare Entitlement Research includes status report with MSP compliance recommendations |
$175.00 |
Simple Medicare Set Aside strains/sprains, fractures without complications, no surgical intervention |
$1,850.00 |
Standard/Median Medicare Set Aside multiple trauma, healed fractures, chronic pain, CPS, herniated disc |
$2,250.00 |
Complex Medicare Set Aside Para/Quadriplegia, amputees, traumatic brain injuries, toxic exposure,
psychiatric hospitalizations, Morphine Pumps, Spinal Cord Stimulators, etc. |
$2,650.00 |
Submission for CMS Approval and Lien Research/Negotiations includes physician review |
$1,000.00 |
Workers Compensation COB Lien Research and Resolution stand alone service |
$1,650.00 |
Liability COB Lien Research and Resolution stand alone service |
$1,650.00 |
Drug Utilization Review stand alone service |
$800.00 |
Social Security Representation standard
complicated-date last insured, etc. |
$2,650.00
$3,000.00+ |
Federal Medicare Secondary Payer Compliance Training Florida-2 Law and Policy CEU's |
Complimentary |
Medicare Secondary Payer Compliance Consultation and Implementation Recommendations specialized for your organization |
Complimentary |
Client/Customer Services
Referring sources and authorized parties to the claim are provided secure internet access to our CSI (Claims Service Integration) Case Management System, available 24 hours a day, 7 days per week. Additionally, through the secure on-line access, new case assignments are simple and precise inclusive of advanced information features.
Our qualified staff will provide you with free in service training on the Medicare Secondary Payer Statute (MSP). Please call us toll free at (800) 528-1002.
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