With Rising, individuals are free to focus on their health and happiness while we do the work to maximize Medicare Set Aside healthcare funds and save money.
Professional Administration
Rising combines mastery in Medicare compliance, with sound financial management and a powerful medical cost containment program. We utilize our expertise in determining the appropriate reimbursement of billions of dollars in medical charges to extend Medicare Set Aside (MSA) funds to their fullest potential, protect Medicare’s interests, and reduce liability for injured individuals and settlement parties.
Rising’s management of MSA settlement funds fully adheres to the numerous standards established by the Centers for Medicare and Medicaid Services (CMS). We fulfill your administration needs by:
- Setting up an MSA custodial bank account
- Determining injury-related charges
- Repricing Medicare-allowable billings per state and CMS guidelines
- Utilizing provider negotiations when necessary
- Extending pharmacy discounts and home delivery options
- Disbursing appropriate provider payments
- Submitting required reports on account activity to CMS
- Ensuring post-settlement compliance and risk mitigation for injured individuals and settlement parties
- Handling medical settlement funds that fall outside CMS requirements
Self-Administration Support
Not all cases need or require a professional’s management, but they call for trusted support and also benefit from medical cost savings. That’s where we step in:
- Furnishing the injured party with necessary resources, forms, and guidance to manage their MSA funds pursuant to CMS requirements
- Providing online tools, through our Patient Web Portal, that make managing MSA funds easier than paper-based administration
- Enlisting automated bill review services to reduce medical charges
- Extending pharmacy discounts and home delivery options
- Offering telephone support
- Helping safeguard payers, attorneys, structured settlement brokers and injured parties from potential negative actions by CMS
“Our clients save an additional 25 – 75% because we incorporate our medical bill review program into this service. Having provided bill repricing solutions since 1999, we’re the only MSA Administrator that offers this much depth.”
– Laura, Specialty Bill Review & Technical Assurance Director
