Novare offers a full line of compliance driven solutions accompanied with personalized service from receipt to resolution. Our experts perform a claim specific analysist and provide recommendations for cost saving solutions while ensuring that Medicare’s interest are taken into account.
All parties in a workers’ compensation case have significant responsibilities under the Medicare Secondary Payer (MSP) laws to protect Medicare’s interests when resolving cases that include future medical expenses. The recommended method to protect Medicare’s interests is a WCMSA.
Pursuant to 42 U.S.C. §1395y(b)(2) and § 1862(b)(2)(A)(ii), Medicare is precluded from paying for a beneficiary’s medical expenses when payment “has been made or can reasonably be expected to be made under a workers’ compensation plan, an automobile or liability insurance policy or plan (including a self-insured plan), or under no-fault insurance.” Novare’s MSP services, taking Medicare’s interest into account: