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Home | Premier Medicare Set-Aside Specialists

Workers Compensation MSA Allocation (WCMSA):. Liability MSA Allocation (LMSA). All of our allocations are prepared by registered nurses who are experienced in medical and workers compensation case management and utilization management, and who hold the Medicare Set-Aside Certified Consultant (MSCC) credential. PMSAS utilizes medical documentation and recognized standard of care criteria in order to appropriately consider Medicares interests and obtain CMS approval without overstating recommendations.

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Home | Premier Medicare Set-Aside Specialists | pmsaspecialists.com Reviews

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Workers Compensation MSA Allocation (WCMSA):. Liability MSA Allocation (LMSA). All of our allocations are prepared by registered nurses who are experienced in medical and workers compensation case management and utilization management, and who hold the Medicare Set-Aside Certified Consultant (MSCC) credential. PMSAS utilizes medical documentation and recognized standard of care criteria in order to appropriately consider Medicares interests and obtain CMS approval without overstating recommendations.

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Referrals | Premier Medicare Set-Aside Specialists

http://www.pmsaspecialists.com/referrals.php

Authorization For Release Of Medical Information. PMSAS Fillable Referral Form.

2

Services | Premier Medicare Set-Aside Specialists

http://www.pmsaspecialists.com/services.php

The purpose of the MSA is to ascertain the amount of funds that the injured party must set aside to pay for future medical expenses that would otherwise be covered by Medicare, otherwise known as qualified medical expenses. Once the allocation has been exhausted, Medicare assumes primary payer responsibilities for Medicare covered expenses for the compensable injury, illness, or disease. While specific thresholds have been established for the review of workers compensation MSAs, the same is not true for ...

3

FAQs | Premier Medicare Set-Aside Specialists

http://www.pmsaspecialists.com/faq.php

WHAT IS A MEDICARE SET ASIDE? A Medicare Set Aside is a requirement by Medicare for a current or future Medicare recipient to set aside a portion of their settlement for future Medicare covered expenses. They only spend this money on Medicare covered expenses for the injury related care. Once exhausted, Medicare pays for the future injury related care and does not require the recipient to reimburse Medicare for expenses related to the settlement. Title 42 United States Code, section 1395y(b)(2). Furtherm...

4

Our Staff | Premier Medicare Set-Aside Specialists

http://www.pmsaspecialists.com/staff.php

Sheryl J. Wainwright, RN, BSN, MBA, CCM, LNCC, CLCP. Kenneth Wainwright, B.S. Ken holds a Bachelor of Science Degree in Finance. Ken worked for 30 year at UPS prior to becoming the CFO for PMSAS. Ken loves to travel, road bike, run marathons, hike, and attend BYU sports events. He also loves to spend time with his children and grandchildren. TeAriki (T.J.) Dobson. Intake Coordinator and IT Specialist. Lara McBride, RN, MSCC.

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Compliance and Updates | Premier Medicare Set-Aside Specialists

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The Centers for Medicare and Medicaid Services (CMS) claims a right of subrogation and direct right of action for injury related medical costs occurring after liability settlement. CMS further asserts the burden of future injury-related medical care should not be shifted to Medicare as a result of a settlement. A Liability Medicare Set-Aside (LMSA) prepared by a PMSAS professional provides a reasonable allocation of Medicare-covered medical expenses to be considered at the time of settlement.

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National Workers' Compensation and Disability Conference® & Expo

http://www.wcconference.com/expo.html

Join us in the Expo Hall for 2 exciting days of networking, learning and fun. Meet with representatives from each of the exhibiting companies who are ready to answer your questions and demonstrate the latest products and services available in the workers' comp and disability industries. Can't make the full conference but want to come to the Expo? Simply register for an Expo Only Pass. Here’s just a sample of the many areas of expertise that are covered:. To see the complete 2015 Exhibitor List. 10 - 11 am.

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National Workers' Compensation and Disability Conference® & Expo

http://www.wcconference.com/agenda.html

We’re already hard at work planning the 2016 Conference. For now, take a look at the 2015 agenda and the 2016 Early Program Details. To see the high-caliber content you always get at NWCDC. 2nd Annual Women in Workers’ Compensation Forum. Registration is free, but separate from your NWCDC. Registration. Please visit www.wiwcleadership.com. For additional details and to secure your spot. 7 - 8:30 am. 8:30 - 10 am. Achieving Excellence in Medical Treatment. Arthur M. Southam. And Kaiser Foundation Hospitals.

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Home | Premier Medicare Set-Aside Specialists

Workers Compensation MSA Allocation (WCMSA):. Liability MSA Allocation (LMSA). All of our allocations are prepared by registered nurses who are experienced in medical and workers compensation case management and utilization management, and who hold the Medicare Set-Aside Certified Consultant (MSCC) credential. PMSAS utilizes medical documentation and recognized standard of care criteria in order to appropriately consider Medicares interests and obtain CMS approval without overstating recommendations.

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