Sometimes, the answers aren't clear but the stakes are high. That's when you want to take the safest and most-conservative approach. Even though MSAs are not currently required, the Centers for Medicare and Medicaid Services (CMS) have noted that an MSA is strongly preferred in some cases. The free case consultation service offered by Providio is an excellent way to learn if the MSP applies to your case and whether an MSA is recommended. Not only are our MSA consultants some of the foremost experts in the industry, our process guarantees that all MSAs have a three-business-day standard turnaround — with no rush fees!
Workers' Compensation MSAs (WCMSA)
CMS has provided detailed guidance regarding why and how MSAs are preferred to protect Medicare’s future interest in workers' compensation cases. They have also created a voluntary MSA submission process that confers safe-harbor protection on all WCMSAs they review and approve. In workers’ compensation cases, the experts at Providio offer the following services:
Liability MSAs (LMSA)
Though CMS has not provided clear guidance regarding specific compliance processes and tools in liability cases, parties must still obey the MSP. Providio knows MSAs are the most-conservative option, even though they clearly are not required. Liability MSAs (LMSA) confer protection and are appropriate in cases where claimants have catastrophic injuries that require future care Medicare would otherwise cover. Even so, other options may be more appropriate given the facts of a specific case. At Providio, our experts pioneered the apportioning of an LMSA to account for such issues as damage caps, policy limits, made-whole issues and common-fund defenses. In liability cases, we offer the following services:
Professional Administration of MSAs
An injured claimant has enough to worry about without concerns over the proper administration of an MSA. That's why Providio's MSA CareGuard, powered by Ametros Financial, is a simple, all-in-one solution that safeguards Medicare benefits and delivers comprehensive, professional MSA administration at an affordable price.
Professional administration simplifies matters for the claimant. The experts at Providio MSA CareGuard ensure bills are captured, paid, and reported to both the member and CMS in compliance with Medicare regulations. Rather than a pool, we manage all MSA funds out of a competitive, growth account in the member’s name. With our Pharmacy Benefit Manager, Providio MSA CareGuard extends the life of the MSA and allows members to receive medications, equipment, or services at prices they couldn't obtain otherwise. This increases the odds that members will have funds in the account to pass to beneficiaries.
How does Providio MSA CareGuard Work?
For members, Providio MSA CareGuard works like traditional health insurance. When in need of MSA related treatment, prescriptions, or services; the member presents a card to their healthcare provider or pharmacist–who submits eligibility requests as they would for any other healthcare plan. In turn, the member receives authorized prescriptions and medical services.