Rising Financial Solutions – Medicare Reimbursement – MSA Allocation

Whether you're seeking professional administration of your workers' compensation settlement funds or merely looking for support in self-administering your Medicare Set Aside (MSA) Allocation, Rising Financial Solutions is uniquely positioned to assist in your endeavors. A division of Rising Medical Solutions, Inc, Rising Financial is able to leverage the expertise of an organization responsible for determining the appropriate reimbursement of over $1 billion in workers' compensation medical billings since its inception.

Rising Financial ensures the maximization of medical set aside dollars with its unique service offering features, including:

Utilization of industry leading software to automatically reprice to state mandated fee schedules and Relative and Actual Charge Data (RACD) rates for appropriate reimbursement of medical expenses
Professional medical bill auditors and nurse review staff to analyze medical bills for application of accurate clinical coding and determination of appropriateness of charges
Benefit extension capabilities, such as contractual provider and pharmacy discounts, negotiations and care management when appropriate
Integrated provider payment options including electronic and paper remittance
Regulatory expertise in both workers compensation jurisdictional matters and regulatory requirements of the Centers of Medicare and Medicare Services (CMS)

Rising Financial Solutions' suite of workers' compensation services focus on extending medical settlement dollars to the fullest. By combining financial and regulatory acumen with an established medical cost management program, Rising Financial is uniquely able to administer and maximize settlement funds for the future medical care of injured parties. In cases where the professional administration of medical settlement dollars is appropriate, Rising Financial offers the following services:

There are certain times when professional administration of Medicare Set Aside (MSA) account is neither required nor the most effective solution for managing injury settlement funds. In these instances self-administration is an appropriate decision. Some key considerations for self-administration of MSA accounts include: Dollar amount of settlement, mental and physical capabilities to administer; and education/background.

Although there are times when self-administration is the right choice, the beneficiary (like a professional administrator) must adhere to all MSA administration protocols in order to prevent the loss of future Medicare benefits and to ensure that all settlement parties have met their professional and regulatory responsibilities. Rising Financial Solutions' support services provide beneficiaries with an improved comfort level about self-administering and MSA account, thus enhancing the ability of payers and attorneys to protect beneficiaries and themselves from potential future negative repercussions.

Assessment of Professional versus Self-Administration
Overview of MSA account Administration Requirements
MSA Account Administration Resource Guide
Electronic Paper Resource Materials
Toll-Free Telephone Support