What are the Ethical and Legal Considerations regarding Medicare Set-Aside Arrangements?
How does ABC evaluate the adequacy of a Medicare Set-Aside Arrangement?
According to a government agency, when an attorney’s client effectively ignores Medicare’s interests in a workers’ compensation case, the attorney should consult their national, state, and local professional organizations for information regarding their ethical and legal obligations. Additionally, attorneys should review applicable laws and regulations, including, but not limited to, a specific section of the Code of Federal Regulations.
Medicare considers the adequacy of an arrangement on a case-by-case basis. Some factors they consider include basis for entitlement to Medicare benefits, nature and extent of the injury, age and workers’ compensation classification of the beneficiary, prior medical expenses paid by the insurance carrier, and the total amount of the settlement. XYZ Company’s team of nurses meticulously reviews the medical records, consults with the settling parties and ultimately makes a recommendation that fully safeguards Medicare’s interests.
Once the information needed for completion is received, you will receive the Medicare Set-Aside report from XYZ Settlement Services within 10 business days. Rush report services are also available upon request for an additional fee.
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