A. STANDARD MSA REPORT
- Standard Report medical claim criteria include, as an example: stabilized herniated disks, knee injuries, multiple healed fractures or carpal tunnel syndrome
- Review of the last 2-3 years of medical records, claim pay-out history and pharmacy record
- Obtain rated age and life expectancy
- Written report, which includes injury description, CPT & ICD-9 codes, summary of medical care, current and future treatment plans, Medicare and Social Security disability status, pre-existing/co-morbid conditions, and allocation amount
- Turn Around Times with all of the necessary medical records is 2-3 weeks
B. COMPLEX MSA REPORT
- Complex Report claim criteria include, as an example: catastrophic injuries including head injuries, paralysis, amputations, complex pain with morphine pumps and/or high opiate dosage, or major depression with hospitalization
- Review of the last 2-3 years of medical records, claim pay-out history and pharmacy record
- Obtain rated age and life expectancy
- Written report, which includes injury description, CPT & ICD-9 codes, summary of medical care, current and future treatment plans, Medicare and Social Security disability status, pre-existing/co-morbid conditions, and allocation amount
- Turn Around Time with all of the necessary medical records is 2-3 weeks
C. FILE SUBMISSION TO CENTERS FOR MEDICARE AND MEDICAID
- Compile all necessary supporting information required by CMS
- Coordinate with all parties to the settlement
- Request conditional payment data as appropriate
- Submit MSA allocation as required with supportive documentation for CMS approval
D. EXPEDITED MSA REPORT
- Two business days turnaround time
- Additional applicable rate
E. REVISIONS, UPDATES, MEDICAL RESEARCH AND LIEN NEGOTIATIONS
- Time and Expense
F. MEDICAL-LEGAL REVIEW TO EXPEDITE CLAIM RESOLUTION
- File review to provide negotiating points for settlement and to provide recommendations to mitigate pending issues
- Staffing with referral source as review develops
- Time and Expense
G. LIFE CARE PLANNING SERVICES
- Time and Expense
H. FUTURE MEDICAL COST PROJECTIONS (can be used in lieu of MSA for Non-Qualified Individuals who do not meet the submission criteria for Class 1 or Class 2)
- Provides complete reserve and cost information to manage or settle claims
- Standard Cost Projection criteria is for injuries such as stabilized herniated disks and knee injuries, multiple healed fractures; carpal tunnel syndrome
- Complex Cost Projection criteria is for catastrophic injuries including head injuries, paralysis, amputations, complex pain with morphine pumps and/or high opiate dosage; major depression with hospitalization