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A Medicare Set-Aside Allocation (MSA) is the only mechanism approved by the Centers for Medicare and Medicaid Services (CMS) for protecting the interests of the parties to a workers’ compensation settlement. Our highly-credentialed professional staff is dedicated to providing premier MSA services to our clients, including exceptional customer service, communication and follow-up. Our turn-around time is consistently two weeks from when we receive all necessary records and documents. Our Dedicated MSA Team Our medical team is led by Medical Services Supervisor Kendra Zeller, R.N., C.C.M., W.C.C.M., M.S.C.C., who is both a Certified Case Manager and a Medicare Set-Aside Consultant–Certified with advanced training. All MSA’s are prepared by registered nurses who hold national certification as Nurse Life Care Planners or Certified Case Managers and also undergo the training to become a Medicare Set-Aside Consultant Certified (MSCC). Unlike non-medical allocators, they have the expertise to analyze the appropriateness of a treatment plan, including the prescription drug component. This is especially important with the costly addition of Part D prescription medicines to the MSA mix. With expertise to determine when a claimant’s medical conditions justify a reduced life expectancy, our nurses also coordinate rated ages on appropriate cases. Our MSA program is directed by our legal counsel, Bill Van Wambeke, who came to M Hayes from a major property and casualty carrier where he was national group counsel for workers’ compensation and, among other things, managed and developed the MSA program. He has lectured extensively on Medicare Set-Asides to such groups as the American Insurance Association, the American Bar Association, the Michigan Bar Association, the Southern Association of Workers’ Compensation Administrators, AMCOMP, the Insurance Rehabilitation Study Group, the Defense Research Institute and the Michigan Self-Insured Association. He regularly serves as faculty in the MSCC certification course, is on the Executive Board of the National Alliance of Medicare Set-Aside Professionals and is a member of the bipartisan legislative committee in Washington working on Medicare reform where he was a principal drafter of H.R. 2549, the reform bill currently in Congress. He is available to work with your defense counsel on legal issues and on MSA settlement language tailored to your case. We also have dedicated MSA support staff to provide consistent handling and tracking of your MSA, from initial referral through filing and approval with CMS. We value each and every referral and our specialized team ensures it receives the attention it deserves. You may contact our MSA Coordinator, Rita Ebbeskotte, rebbeskotte@mhayes.com or 804-560-2080 x102, at any time to check on the status of your MSA, or talk directly with the nurse handling the file. Status reports from the nurse will also help you track and document the file’s progress. We believe open communication on a file is critical and is a part of what makes our service special. Innovative Product and Fees
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CMS Policy Memoranda Other
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