Medicare Set Aside Allocations

URS offers Medicare Set-Aside Allocation services (MSA) in conjunction with our partner, ANS Rehab Consulting of Green Brook, NJ. All MSA's are prepared by Medicare Set-Aside Certified Consultants. Allocations are developed following thorough review and evaluation of injury related medical costs normally covered by Medicare.

A MSA is recommended with any settlement that seeks to close future medicals:

1. In which the injured individual is currently eligible for Medicare- regardless of settlement amount, or
2. If settlement value is over $250,000 (inclusive of indemnity, attorney fees and costs) and an individual is reasonably expected to become entitled to Medicare within 30 months.

Consequences of settling without a MSA can be substantial. Among these, Medicare (CMS) may:

• Deny the claimant future medical care
• Designate its own allocation, which may be as much as the entire settlement amount
• Sue the claimant, claimant’s attorney, and or insurance carrier (where double damages can be sought)
• Claimant may also file malpractice suit against attorney if post settlement

URS, through its MSA partner, provides a local and reliable solution for attorneys and employers who wish to move forward in the settlement process. By having Certified MSA staff who are also R.N.s familiar with the cost of medical treatment, medications and supplies which are being set aside, the likelihood of Medicare challenges are minimized.

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