Bill HR1845 Becomes Law

  • By admin
  • 20 December, 2012
  • Comments Off on Bill HR1845 Becomes Law

HR1845, which includes provisions of HR1063 SMART Act (SMART=Strengthening Medicare and Repaying Taxpayers) was signed into law.   In summary HR1845 is described as follows: To provide for a study on … Continue Reading →


New 2008 Life Tables from CMS

Starting January 19,2013 The Centers for Medicare and Medicaid Services (CMS) will begin to use published 2008 United States Life Tables, referencing CDC’s Table 1:  Life Table for Total Population.    … Continue Reading →


whyfora_976x313

Why Choose föra cost containment?

  • By admin
  • 17 December, 2012
  • Comments Off on Why Choose föra cost containment?

Our name föra cost containment was derived through a name search that would describe in some essence our mission and services. föra means: * to lead in a partnership * … Continue Reading →


payerentitledtoreversal_976x313

Is a payer entitled to a reversal?

  • By admin
  • 7 December, 2012
  • Comments Off on Is a payer entitled to a reversal?

Yes, the payer can be entitled to a reversal, depending on how the Settlement Agreement is resolved. A reversionary clause can be negotiated as part of the Medicare Set-Aside Settlement … Continue Reading →


whenlookatstrucsettlementt_976x313

When should I look at a Structured Settlement?

  • By admin
  • 7 December, 2012
  • Comments Off on When should I look at a Structured Settlement?

When a case is being settled it is important to review the Medicare Set-Aside (MSA)  funding and assess whether a lump sum payment or a structured settlement in the form … Continue Reading →


conditionallienupdate_976x313

If there are conditional liens, is there a process or need to update?

  • By admin
  • 7 December, 2012
  • Comments Off on If there are conditional liens, is there a process or need to update?

Medicare will indicate if there have been conditional payments made on the case.  These payments need to be paid or settled with Medicare before the case can settle.  Once these … Continue Reading →


drradvantage_976x313

What is the advantage of doing a Drug Regimen Review or Cost Projection prior to an MSA Allocation?

  • By admin
  • 7 December, 2012
  • Comments Off on What is the advantage of doing a Drug Regimen Review or Cost Projection prior to an MSA Allocation?

Reviewing the drug regimen prior to obtaining an MSA allocation is important when you have a claimant who has a high number of prescriptions, is using brand name vs generic, … Continue Reading →


tunaroundtime_MSA

What is the expected turnaround?

  • By admin
  • 7 December, 2012
  • Comments Off on What is the expected turnaround?

Depending on the service and the complexity of the claim, turnaround times may vary.  For a Medicare Set-Aside Allocation report, the typical turn-around time is within 14 working days upon … Continue Reading →


keepclaimsopen_MSA

What if we don’t close claims?

  • By admin
  • 7 December, 2012
  • Comments Off on What if we don’t close claims?

What happens if in our state or it is our policy to not close a claim?   Is a Medicare Set-Aside applicable?  There is no settlement, so would it even make … Continue Reading →


Scroll Up