Medicare Set-Aside and Allocation Services

Timely. Quality. Accurate. Experience.

ISG’s proprietary process and analytics driven software, myVitals, combined with our team of claims, medical, and legal professionals ensure timely, accurate and quality Medicare Set-Aside and other Allocation services. We deliver a unique approach to mitigating future exposure with unprecedented solutions to claims resolution, leveraging ISG intervention services, while properly and reasonably considering Medicare’s interests and simultaneously offering choices to assist in meeting the allocation needs.

The ISG Advantage

  • Medicare outcome staffing led by a dedicated settlement specialist
  • Customizable partnership to facilitate claim resolution
  • Only experienced and credentialed nurses complete allocation reports
  • Rigorous quality assurance guidelines ensure quality reports
  • Quick turn-around time

 

For more information on Section 111 reporting, Medicare Set-Asides (including our iVault program) or Conditional payment resolution services, please contact us at msp@isgvalue.com

Medicare Set Aside

Services Offered

  • Workers’ Compensation Medicare Set Aside (WCMSA)
    All parties in a workers’ compensation case have significant responsibilities under the Medicare Secondary Payer (MSP) laws to consider Medicare’s interests when resolving cases that include future medical expenses. ISG offers a myriad of MSA report services customized to meet the needs of our clients.
  • iVault (a Non-Submit, Evidence-Based MSA)
    ISG’s iVault product is a comprehensive non-submit solution that applies recognized industry standards such as evidence-based medicine, applicable state’s treatment plan, ODG and ACOEM guidelines, as well as unique legal insight. This approach can result in significant savings, while delivering medically defensible allocations. Click here for more information on our iVault suite of services.
  • Liability Medicare Set Aside (LMSA)
    Liability set asides are created to show the anticipated cost of future treatment for injuries resulting from other than work-related events. Examples include, but are not limited to, motor vehicle accidents and slip and fall injuries. While there is currently no recommendations for these projections to be submitted for review by CMS, it may be necessary to properly consider Medicare’s interests and achieve settlement.
  • Medical Cost Projection (MCP)
    An MCP is a detailed projection of lifetime medical costs for settlement or reserving purposes. An MCP is typically completed when a future medical dollar amount is needed for either settlement or reserving purposes. The items allocated are both Medicare and Non-Medicare reimbursable treatment.