Through our Medicare set-aside (MSA) and life care planning programs (LCP), Healthcare Solutions is committed to maintaining an equal balance of protection for both the Centers for Medicare and Medicaid Services (CMS) and the payer. Our comprehensive program is focused to ensure pharmacy and ancillary services are appropriately allocated as specified by CMS under the Medicare Secondary Payer (MSP) statute.
Healthcare Solutions’ program utilizes our in-depth pharmacy and ancillary health services benefits management knowledge combined with our expert MSA specialists. Through an interdisciplinary team, Healthcare Solutions ensures the most accurate and lowest defendable allocation amount available. Our program includes:
- Report Compilation and Submission According to CMS Guidelines. Each allocation report is customized to individual claim needs. Quality assurance is performed by MSA consultants. When the MSA package is submitted to CMS, Healthcare Solutions’ team of experts follow through with the regional CMS office until acceptance.
- Dedicated Account Specialists. Healthcare Solutions provides a team of dedicated account specialists to ensure your pre-settlement needs are met and the allocation process is seamlessly managed.
- Internal Pharmacy and Ancillary Services Expertise. Healthcare Solutions has a proven track record of managing pharmacy and ancillary health services though our proprietary technology platform - Sequoia™ - and our nationwide network of pharmacy and ancillary services providers.
- Clinical Rx™ Retrospective Drug Review Program. Pharmacists review a patient’s prescription history to provide an expert opinion of the overview of the medication regimen.
Through internal databases, Healthcare Solutions has access to the most current Usual and Customary Medicare allowable pricing. Sequoia™ allows a secure web-based view into the status of each allocation report at any time. Completed reports can be quickly printed for further review. Our experts help to provide the support and education adjusters need to efficiently manage the pre-settlement allocation process.
Healthcare Solutions ensures timely turnaround time for MSA and LCP allocation report completion. Thorough reporting assures accuracy of MSA and post-settlement funding. With our proven approval rating, Healthcare Solutions is the MSA partner you can trust.
Contact a Healthcare Solutions representative to learn more about our Medicare Set-Aside and Life Care Planning Services.
