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Medicare Set-Aside

Marshall Dennehey Warner Coleman & Goggin has a designated practice group to handle Medicare set-asides and has been in the forefront of handling the issues associated with Medicare set-asides since the development of Medicare's regulation in 2001. We have reviewed over 1,600 cases and obtained Medicare approval in over 1,500 of those cases. From its inception, this group has been led by James E. Pocius who was actively involved in the creation and refinement of the regulations.
 
This field has become increasingly complicated over the years. When the Center for Medicare Set-Asides (CMS) initially promulgated the regulations regarding set-asides, it was not known how these cases would be handled. Fortunately for our clients, Jim and his group regularly advise and counsel insurance companies, employers and self-insureds on how to seek creative solutions to the complex problems created by Medicare set-asides. In addition to authoring numerous articles on this subject, Jim frequently speaks at seminars, conferences and webinars at the national and local levels.
 
The Medicare practice is structured to provide the client with prompt and effective service. Medicare approval can take 8 to 10 weeks once all the proper information has been submitted to the Center for Medicare Set-Asides. Our clients work with one attorney for the life of a case. There is no turn-over in the middle of a case, and if updates are needed, the same person who prepared the original estimate for Medicare will prepare the update. In this way, we ensure continuity. Furthermore, the handling attorney is available for questions and advice throughout the pendency of the case.
 
Our attorneys possess the comprehensive knowledge  necessary to effectively handle set-asides. We are well-versed in the workings of the federal and state liability systems, as well as the workers' compensation systems of various states. In addition, we are experienced in protecting Medicare's interest, the State Children's Health Insurance Program (SCHIP) Reporting Law and Medicare Set-Asides. Based upon this knowledge, we offer cogent advice regarding case settlements as well as the use of structured settlements and other strategies to bring cases to a successful conclusion. Further, we are accustomed to working with lawyers in various localities and providing them with the support they need regarding Medicare issues.
 
Not only do we have the knowledge and experience to assist you with your Medicare problems, we also provide these services on a very cost-effective basis.
 
National Medicare Services Provided:

  • Medicare set-aside allocations for workers' compensation and liability cases
  • Medicare eligibility search
  • Medicare submission to the agency for approval
  • Advice and consultation including attending mediations, working with your defense counsel, preparing and reviewing necessary documents, answering questions on specific cases, preparing Medicare paragraphs for settlement documents
  • Conditional payment searches
  • Revision of Medicare set-aside allocations
  • Rush services

 
The members of our Medicare Set-Aside Practice Group are available to speak with you to help you find the right strategies to achieve your goals. 

Law Alerts September 9, 2016
Eleventh Circuit Court of Appeals Requires a Liability Insurance Carrier to Pay TWICE After It Grants a Medicare Advantage Plan a Cause of Action   In a case that will have far reaching effects across the country, the Eleventh Circuit Court of..., The material in this law alert has been prepared for our readers by Marshall Dennehey Warner Coleman & Goggin. It is solely intended to provide information on recent legal developments, and is not intended to provide legal advice for a specific...
Law Alerts January 16, 2013
Anyone who has settled liability or workers' compensation claims in the past couple of years knows how difficult it can be to understand and comply with the Medicare secondary payer rules regarding the reimbursement of liens, as set forth in...
Defense Digest Article March 1, 2011
Medicare Law Practice Group The Medicare Set Aside Practice Group is centered in the Scranton, Pennsylvania, office of Marshall Dennehey Warner Coleman & Goggin and is chaired by James E. Pocius, with Ross A. Carrozza as vice-chairman. Both Jim..., Defense Digest, Vol. 17, No. 1, March 2011
Conference Nov 20, 2013
The National Workers' Compensation and Disability Conference® & Expo is the industry's leading training event, attracting thousands of workers' compensation and disability management professionals from across the nation each year...
Seminar Nov 22, 2013
Paul Tatlow, a shareholder the firm's Wilmington office, is a speaker at this full-day lien boot camp. The day-long seminar is packed with current and crucial information, practice tips, pointers, checklists, sample letters and sample forms that...
Seminar Sep 17, 2014
*Complimentary breakfast begins at 8:00am and lunch will be provided. Join the attorneys of Marshall Dennehey for a comprehensive review of the latest legal trends in Medicare, Bad Faith, Social Media Discovery and more..... Topics include:...
Seminar Oct 1, 2014
Three members of Marshall Dennehey's Workers' Compensation Department will be featured speakers at the Workers' Compensation Summit sponsored by the Pennsylvania Chamber of Business and Industry. The purpose of the Summit is to provide a...
Seminar Apr 25, 2017
Ross Carrozza and Jennifer Callahan, shareholders in the Workers' Compensation Department, are speaking at the NBI's two-day seminar focused on handling workers' compensation cases. The seminar will explore the comprehensive nature of a...

Chair

James E. Pocius
Chair, Medicare Set-Aside Practice Group
(570) 496-4601
jepocius@mdwcg.com

Co-Chair

Niki T. Ingram
Director, Workers' Compensation Department
(215) 575-2704
ntingram@mdwcg.com
Ross A. Carrozza
Shareholder
(570) 496-4617
racarrozza@mdwcg.com

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