Workers' Compensation Medicare Set-Asides

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As part of our workers' compensation practice, the Ramos Law Firm handles and creates Workers' Compensation Medicare Set-Aside Accounts (WCMSA).

• A Medicare Set-Aside Account establishes a fund to pay for post-settlement, Medicare-covered expenses related to a workers' compensation claim.
• The amount is determined through analyzing the specific injuries and circumstances of a claim.
• When the allocated amount is depleted, Medicare becomes the payor of the Medicare-covered expenses.

Our firm works closely with specialized and certified nurses who are able to help us determine appropriate allocations. These nurses are able to provide our clients with a clear picture of future medical treatment. Please contact our firm to learn more.

The Ramos Law Firm also handles conditional payment lien verification and resolution.

• A conditional payment is one that is made by Medicare with the condition that it will be paid back at the time of the workers' compensation settlement.

These federal payments may have serious implications. Therefore, these conditional payment liens should be taken seriously. Our attorneys have experience with working with federal agencies including the Centers for Medicare and Medicaid Services to settle these matters.

If you would like more information regarding Medicare Set-Asides, conditional payment lien verification/resolution, the SCHIP Extension Act, or to view CMS Memos, please click here.