- Workers' Compensation is a system which compensates workers who become injured on the job or contract a job related illness
- Workers' Compensation is a no fault system that provides injured workers with medical treatment and Temporary Disability up to a statutory limit
- Our experienced staff helps insurance companies contain costs through close monitoring of care and elimination of redundant or unnecessary treatment/procedures/DME
- An on-site case manager will
- Assess the injured worker
- Meet with the family
- Identify medical issues and current treatment
- Verify that all medical issues have been conveyed
- Act as a liaison between medical providers, facility staff and insurance representatives
- Verify that the injured worker is in an appropriate environment
- Collaborate with vendors nationwide regarding discharge planning issues
- Our staff is educated in workers' compensation procedures, rules and standards of case management practice
Medicare Set Aside
The Medicare Set Aside allocation (MSA) outlines the projected costs associated with injured workers medical and prescription drug expenses typically covered by Medicare. The MSA is submitted to and approved by the Center for Medicare and Medicaid Services (CMS)
Purpose of a MSA:
The MSA provides a structured means for the settling Injured Worker and Workers Compensation Carrier to reasonably consider Medicare’s interest with the approval of CMS and avoids penalties associated with non compliance.