Medicare Set Aside (MSA)

A Medicare Set-Aside is an arrangement between the settling parties in order to protect Medicare’s interests when settling future medical benefits for qualified individuals and to prevent the shift of burden from the primary payer to Medicare.

KRS, LLC is partnering with FluentMSA.com to provide a state of the art database system for our Medicare Set-Aside clients.  The database will be available for both Basic MSA’s and Complex MSA’s, with submissions to CMS when needed.  The reports will be stored in the database for a three year period and can be viewed by the client through a customized login system.
We provide reports of a Quality that will make the settlement process and submissions process easier.

All MSA's will detail the doctor's notes and treatment plans by specialty and in chronological order. Allocations will be broken out by Anticipated Medicare Costs and Anticipated Non-Medicare Costs. Each of these reports will be categorized to assist with settlement and ease of litigation.

All reports will be prepared by MSCC Certified staff.

For a pdf copy of “History of Medicare Set Aside (MSA)” please click here. 

Medical Cost Projections (MCP)

A Medical Cost Projection (MCP) is a comprehensive medical report which is designed to help identify any potential medical issues or complications. It will also provide assistance with reserve setting and a comprehensive financial analysis of both current and future medical care.

KRS offers Medical Cost Projections as an added tool for Case Managers and adjusters to better manage difficult cases.

Life Care Planning (LCP)

Life care planning provides a well-documented, comprehensive assessment for the long term expenses of a catastrophically injured person. It is critical for the company and the injured employee to be fully knowledgeable of these anticipated expenses. Companies rely on this information as a cost saving factor, while insuring that the injured employee maintains a productive life style. These expenses can include drugs, therapy, educational needs, transportation needs, continuing medical treatment, home care, architectural renovations, and other costs.

All Life Care Plans will be prepared by certified Life Care Planners.

For a pdf copy of “Life Care Planning (LCP)” please click here. 

Under Drug Utilization Review (DUR)

A Drug Utilization Review (DUR) is an evidenced based review of the claimant’s medication regimen. The report focuses on both clinical and economic areas of drug therapy. The report will address the following areas; appropriateness of use, cost savings, generic alternatives, dose consolidation, discontinuation of unnecessary therapies and non-injury related medications. In summary a Drug Utilization Review will ensure the claimant is receiving a proper drug regimen.

Expert Witness Service

KRS offers Expert Witness Services when litigation is necessary and expert knowledge is needed.