Since the day we began our Medicare Set-Aside practice our goal has always been to prepare the lowest defensible Medicare Set-Aside Allocation. We believe this aggressive philosophy has set the standard within the industry for best practices in Medicare Compliance.
Our mission is first and foremost to help accomplish final settlement. With our firm’s roots existing in the defense of insurance carriers and self-insured entities, we put Medicare approval in perspective with the status of the claims settlement. We know that obtaining Medicare approval on the first pass does not always mean that the approved amount will result in settlement. And it is our philosophy that if the parties can not settle a case, there is little need for a Medicare Set-Aside. We believe it is important to obtain approval from Medicare on the first pass. However we will not submit an allocation with that intent in mind if it means that our client will be unable to settle their claim.
We frequently encounter situations in which Medicare Set-Asides are so costly that they make settlement difficult or impossible. In those cases, reductions or exclusions may be justified. We will aggressively advocate for your company in order to help facilitate your settlement while also satisfying your Medicare obligations. We also make arguments to Medicare based on state or federal law to support reduced or zero dollar amounts. Burns White is more concerned with helping our clients accomplish final settlement than having the best first pass approval percentage in the industry. We believe our philosophy about Medicare Set-Aside allocating would be of benefit to you in the successful settlement of your claims.