Congress has mandated that when Medicare is a secondary payer in workers compensation, liability or no-fault automobile situations future injury-related medical expenses must not be shifted to Medicare. BCM has a specialized team of nurses who are disability management consultants and billing specialists who thoroughly review and evaluate files and prepare a comprehensive report for submission to Medicare. Features include:


BCM Medicare Set-Asides

- Evaluate the need for a Medicare Set-Aside
- Verify Social Security Disability and Medicare status
- Determine the Medicare lien status and lien negotiation
- Establish entitlement status
- Provide a cover letter with CMS required information
- Prepare and evaluate the medical records
- Outline the future treatment plan
- Evaluate the recovery prognosis
- Create a Life Care Plan when necessary
- Obtain the rated age
- Calculate the cost of the future medical over the life expectancy
- Submit the complete Set-Aside to CMS for approval
- Include the required support documentation
Copyright 1994 - 2010 |  Contact Us |  About BCM |  Privacy Policy