Gullen & Associates pllc Gullen & Associates pllc is a law firm specializing in assisting parties to personal injury claims comply with the Medicare Secondary Payer statute and related federal rules and regulations. To learn more about our firm, click HERE.
The MSP statute requires parties to personal injury claims of Medicare beneficiaries to protect the interests of Medicare.
Parties to personal injury claims have legal obligations related to Medicare including:
- Duty to report claim to Medicare
- Duty to reimburse any conditional payments made by Medicare related to the underlying injury
- Duty to create a Medicare set-aside when required (primarily in workers' compensation cases).
We help by providing the following services:
- We obtain letter from Medicare showing any conditional payments made.
- We audit the conditional payment claim for accuracy and challenge any payments for unrelated treatment.
- We obtain a final payment demand from Medicare.
- We provide our client with full instructions and guidance in closing the case with Medicare.
Total, prepaid fee for conditional payment and Medicare lien resolution services: $500
______________________________________________________________________________________________
Medicare set-aside calculation and submission to Medicare for approval:
- We review the claim file and determine the amount that Medicare will require for a Medicare set-aside.
- We obtain approval of the settlement and Medicare set-aside from the Centers for Medicare and Medicaid Services.
- We obtain a letter from Medicare showing any conditional payments made.
- We audit the conditional payment claim for accuracy and challenge any payments for unrelated treatment.
- We obtain a final payment demand from Medicare.
- We provide our client with full instructions and guidance in closing the case with Medicare.