Services
Medicare Set-Asides
There are 4 critical considerations when choosing an MSA company:
- Rapid turnaround time
- Lowest possible cost
- Accuracy of the MSA report - a report that is defendable and stands up to CMS scrutiny
- Customer Service - open communication with the MSA professional
Axiom delivers on all four counts. Our service delivery platform allows our customers to settle more cases more quickly, effectuate the lowest yet most realistic allocation amount and have a report that stands up to CMS scrutiny. Additionally, our customer service commitment is second to none. Our MSA professionals have the knowledge and expertise to get it right, the first time.
Our reports will include Medicare covered and non-Medicare covered items, rated age and Seed Money calculation at no additional charge. Four (4) day turnaround time (when complete documentation provided).
MSA Submission to CMS
Submission of a MSA report to CMS includes settlement language, preparing complete documentation and following the process through all the way to conclusion/approval.
Worker's Compensation/Liability COB Lien Research and Negotiation
Identifying and resolving CMS conditional payments/liens is at the heart of Medicare Secondary Payer Act compliance. Let our professional staff bring resolution to any conditional payment/liens issues. Our service includes:
- Confirmation as to whether or not the injured party is receiving Medicare benefits - if so, we will contact the Coordination of Benefits Contractor and report the claim.
- Request Payment Summary from Medicare Secondary Payer Recovery Contractor(MSPRC) and review conditional payment summary.
- Dispute unrelated medical costs/claims.
- Secure finalized demand from CMS - original demand less unrelated medical costs/claims.
- Provide final CMS demand letter - MSP requires payment to CMS within 60 days of receipt of final Demand Letter.
Our service increases your staff's productivity by allowing them to focus on core competencies and ensures MSP compliance.
Medical Cost Projection
The Future Medical Cost Projection (FMCP) provides the claims professional with an unbiased third party estimation of the total medical, durable medical equipment (DME) and prescription drug value of the claim. It is a very useful tool for setting accurate reserves and can be a key component for settlement negotiations. It is for those claims where a MSA is not yet appropriate.
Provider Bill Review/Audit
Through our strategic partnership, we will not only review bills for reasonable and customary, fee schedule and PPO discounts, but analyze the medical records in conjunction with the billed services to control costs by medical necessity, frequency, duration, duplicate billing and unbundling tactics. Typical savings in the 45-50% range.
Life Care Planning
Our Certified Life Care Planners will develop a comprehensive plan of care for injured clients, a concise and comprehensive plan outlining current and future needs. All areas of care are included: physician follow-ups, medications, supplies, therapies, transportation and long-term residential facility costs. This is usually performed on catastrophic-type cases and is used for settlement or trial purposes.
