Medicare Expert Case Evaluation (“MECE”)
The whole system is flawed when it comes to Medicare. You take all the risks, you do all the work, you bear all the costs. And, after you win, then you must address the Medicare Secondary Payer Act. We flip that paradigm on its head and fix the broken system. Our team will create a comprehensive plan to allow you to close your file compliantly by addressing Medicare’s “future interest”, freeing you up to take on the next battle. You can focus on what you do best, and everyone wins.
If you have a client who is Medicare eligible that is going to require future accident-related care, a Medicare Set-Aside should be considered and a MECE completed. There are numerous ways to deal with Medicare Secondary Payer compliance (without a set-aside) to ensure both your firm, as well as your clients are protected. It just requires expert analysis with Synergy’s help.
As part of the MECE, a Synergy Medicare Compliance expert will consult with your client regarding Medicare future interest protection mechanisms and the risk of doing nothing. After being advised, your client can make an informed decision about what they would like to do, and you can document your file accordingly.
The MECE service includes:
- Unlimited client consultation
- Template communications to your client
- Customized acknowledgement form to document your file
- Settlement documentation consultation for MSP compliance
What are the possible outcomes resulting from the MECE?
Medicare Futures – The Unregulated New Frontier: While resolving Medicare conditional payments is very important, a larger issue looms regarding payments made by Medicare after settlement. Today, there is a very real threat of Medicare denying future injury related care after the personal injury case is resolved. This can be very easily triggered by Mandatory Insurer Reporting of injury related ICD codes to Medicare which happens automatically now with any settlement of seven hundred dollars or greater.
Consult with one our our industry leading Medicare Compliance experts today to see how outsourcing Medicare compliance to Synergy ensures the lowest possible set-aside in every case, improves client satisfaction and gives you a trusted partner to address ever-changing Medicare compliance rules. Request Consultation