About Us

Crowe Paradis Services Corporation (CPSC) is a leading national provider of services that help insurers, administrators and employers with legal requirements related to Medicare. Founded in 2002 by a group of attorneys with experience in the group disability, workers compensation, and health insurance markets, CPSC developed an innovative approach to the Medicare Secondary Payer (MSP) compliance challenge. CPSC’s advocacy-driven approach integrates legal, clinical and technological expertise to manage the compliance process and deliver a comprehensive solution. CPSC is an ISO company.

Working with Crowe Paradis: FAQ's:

What are the advantages of working with Crowe Paradis?

Legal and Medical review of every file
Legal Analysis
We advocate for you on every file, not only on the amount of the MSA, but also on the amount of the conditional payments
Former Medicare recovery contractors on staff who understand how to successfully partner with CMS
SSDI database developer on staff for fast turnaround of SSDI/Medicare checks
Attorneys on staff who have been working with CMS since 2001
Utilization Review nurses on staff who focus on reducing allocations and saving money

What services do you provide?

Crowe Paradis provides its clients with a full slate of MSP compliance services, including:

Medicare Set Aside (MSA) allocations (Workers' Compensation and Liability)
Conditional Payment Analysis / Negotiation
Section 111 Reporting
Medicare Compliance Protocols
MSA reallocations
Submission of MSA to CMS
“Zero Allocations”:
- Based on legal argument (disputed claim)
- Based on medical argument (pre-existing injury, no need for further care, return to baseline, etc.)
Social Security / Medicare determination
Legal Analysis / Consultation
Settlement Language
Prescription Drug Review
Physician Peer Review
Rush Service
Training
- Seminars
- Webinars
Self Administration Support
Professional Administration Services
Custodial accounts

Do you offer a file pick up service?

Yes, we offer file copy and pickup services nationwide at no additional charge. It is our belief that this service benefits both parties and is often combined with training and/or file reviews for a number of our clients. We also have an easy to use online referral method.

How quickly can I expect my claim to be processed?

We promise a turnaround time for processing your claim of 14 business days from receipt of file materials. And we can often do it faster!

Do you offer a rush service?

Yes, we offer a RUSH service.

I would like to refer a file. What documents do you require?

The following documents are required to prepare a Medicare set aside agreement:

First report of loss
Last two years of medical records
Printout of benefits paid (medical, indemnity & pharmaceutical)
Relevant legal documents/pleadings
Proposed or executed settlement documentation

I have a technical question, do you provide support?

We are sincere about providing a unique response to our clients’ MSP compliance needs and we will support you from initial referral through the crafting of settlement language as part of our base fee. If you have a simple question or would like to discuss the facts of a complex case, we are committed to helping you negotiate the complexities of the MSP statute.

We are also uniquely qualified to provide phone customer service to our clients. Not only can we address general questions and issues involving referrals, but we have a staff of attorneys and nurses available to address complex matters as well. This is one of the few times you can seek the advice of an attorney and not receive a bill!

Why can a guarantee program be problematic?

Offering a guarantee program goes against our philosophy of preserving settlement dollars. We take an advocacy approach to provide the lowest defensible MSA possible, which ultimately translates into considerable savings for our clients.

Companies who guarantee an allocation amount may not have your best interest in mind and may in fact take an approach towards treatment and costs to avoid having to fund the difference. We believe this approach leads to higher allocations that may stall settlement costing you in the end.

What is entitled in obtaining a Social Security and Medicare Status determination?

We take the initiative to obtain a signed authorization from the claimant and/or work with the adjuster or counsel to get the proper authorization. With this release, we are then able to obtain a breakout from Social Security detailing both Medicare and Social Security status. Our proprietary approach results in a turnaround time of approximately 3 days from receipt of a signed release.

Do you prepare life care plans?

Yes, we prepare Life Care Plans and projections. Our reports include a complete review of all provided medical records, research of the treatment and diagnoses as needed, a narrative summary of the injury, treatment and implications for the future, and tables detailing the projected future treatment and associated costs.

Ideally analyses are completed after an onsite interview with the patient/family and correspondence with treating providers to obtain or clarify necessary information that may not be contained in the medical records. The time involved in these can vary widely due to the complexity of the case, age of the patient, previous, current and future treatment, volume and clarity of the medical records, and issues that may need to be resolved. Our projections usually include all future costs related to an injury, whether they are covered by insurance or not. Deposition, testifying and related travel costs are not usually included in the cost for the actual Life Care plan.

Do you prepare lifetime medical cost projections?

Yes, we prepare Lifetime Medical Cost Projections. Our reports include a complete review of provided medical records, research of the treatment and diagnoses as needed, development of a narrative summary of the injury, treatment and implications for the future and tables detailing the projected future treatment and associated costs. Unless required to clarify issues, there is usually no contact with the patient or providers. These analyses can be modified to include all costs, or those just covered by a particular coverage (such as WC). These projections do not involve any costs for depositions or testifying, as they are considered an adjuster work product.

How do you handle rated ages?

Because rated ages are a potent cost-mitigation opportunity, our medical experts screen referrals for conditions, impairments, and lifestyle behaviors which would contribute to a life expectancy adjustment from the outset on every referral. We frequently find that pre-existing or simultaneous medical conditions that could not trigger a cost adjustment in the underlying claim can have a tremendous impact on the cost of the MSA. Our independent network of partners assists us in providing rated ages at no additional cost, and is more evidence of our best practices. Our team approach to compliance ensuring the best skill sets and service is delivered in every file.