Medicare Set Asides

Learn How to Protect Medicare’s Interest with FIG!

medicare set asides

In 1980, Congress enacted the Medicare Secondary Payer Act (MSP) in an effort to slow the rising cost of Medicare.  The MSP prohibited Medicare from paying for medical treatment that was also covered by other insurers. In these instances, Medicare becomes the ‘secondary payer’ for medical care.  Medicare demands that their interest is taken into consideration when settling cases – where the settlement funds include money for future medical care.  If not, Medicare can take legal action and the Medicare benefits can be forfeited. Medicare strongly recommends compliance of the MSP to set-aside money from the settlement funds that would cover future medical care otherwise covered by Medicare.  And, Medicare even recommends that some of these cases be submitted to Medicare to review/approve the adequacy of the amount.  This is the conception of a Medicare Set-Aside (MSA) Allocation. The Medicare Set-Aside Allocation is a detailed report which determines future medical care and what is acceptable/covered by Medicare.  During the settlement process, it is imperative that you understand when and how the case should be evaluated to assure Medicare’s interest has been taken into consideration.

FIG’s Medicare Set-Aside class teaches the intricacies of Medicare, how to protect Medicare’s interest in the settlement process through the completion of a Medicare Set-Aside Allocation, and assists with safeguarding funds to properly care for injured/ill clients.  FIG’s Medicare Set-Aside class provides learning in an online classroom – which is a cost-effective method of learning.  We have eliminated the airfare, travel, hotel, and meal costs.  We have also reduced time away from work and family.  Don’t be fooled – we have not eliminated the personalized, hands-on experience and interaction with an Instructor.

FIG’s Medicare Set-Aside class has been pre-approved by the International Commission on Health Care Certification (ICHCC) as meeting the educational requirements necessary to sit for the Medicare Set-Aside Consultant Certified (MSCC) Exam.

FIG’s Medicare Set-Aside class is 30 hours and divided into 6 lessons:  **

  1. Medicare (Timeline / Criteria / Coverage)
  2. Medicare Secondary Payer / Protecting Medicare’s Interest
  3. MMSEA / SSDI Verification / Conditional Payment
  4. CMS Memos / MSA Criteria
  5. Medicare Set-Aside Allocation
  6. MSA Funding / Administration / CMS Submission / Settlement

Each lesson is a 5-hour independent study through our Online Classroom.  The lesson includes a recorded presentation, reading assignment, and homework.  The homework consists of multiple choice and essay questions.

In an effort to be a good steward of the earth and save our trees, a printed/hard copy of the class materials is not provided.  However, students have the option of printing and downloading class materials from the Online Classroom.

** Students taking the MSCC Exam are required to complete a peer-reviewed sample Medicare Set-Aside report.  This requirement is offered under the Maple and Sequoia packages.  A Case Study for the peer-reviewed sample Medicare Set-Aside report will be provided following Lesson 5. 

To renew the MSCC credential, ICHCC requires 5 hours of MSA ethics.  FIG’s Medicare Set-Aside Updates & Ethics class can be found on the Continuing Education webpage (click here for quick link).

Medicare Set Asides Class
Package Comparison


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Medicare Set-Asides

Aspen Package

 

Online Class

(presentations/videos/demonstrations)

 

Ongoing Support During Virtual Class (Q&A)

Treehouse Membership

(during class)

Basic Workbooks

Basic Templates/Samples (PDF)

30 Hours

(must be completed within 1-3 months)

Certificate of Completion

 
 

Business Development &

Marketing Strategies Presentation

PAY IN FULL

automatic 5% discount if full payment

$599

$569.05

PAYMENT PLAN

$599

1st payment of $199,

then 2 monthly payments of $200

 

Medicare Set-Asides

Maple Package

 

Online Class

(presentations/videos/demonstrations)

 

Peer Review Homework

Ongoing Support During Virtual Class (Q&A)

Treehouse Membership

(no charge during class 

AND first 3 months after class)

 

Expanded Workbooks

Expanded Templates/Samples (PDF)

30 Hours

(must be completed within 1-3 months)

 

Certificate of Completion

 

Exam Study Session & Study Guide

(MSCC)

 

Business Development &

Marketing Strategies Presentation

PAY IN FULL

automatic 5% discount if full payment

$999

$949

PAYMENT PLAN

$999

1st payment of $333,

then 2 monthly payments of $333

 

Medicare Set-Asides

Sequoia Package

 

Online Class

(presentations/videos/demonstrations)

Peer Review Homework

AND

Individual Feedback Sessions with Instructors

 

Ongoing Support During Virtual Class (Q&A)

AND

Live Virtual Mentoring

(within the timeframe of the class)

 

Treehouse Membership

(Lifetime Membership)

Deluxe Workbooks

Deluxe Templates/Samples (PDF & Word)

30 Hours

(must be completed within 1-3 months)

Certificate of Completion

Exam Study Session & Study Guide (MSCC)

AND

Live Virtual Study Session with Instructors

 

Unlimited Coaching

(after completion of class)

 

Continuing Ed -pick two classes

(no expiration)

Business Development &

Marketing Strategies Presentation

 

Building a Profitable Practice Class 

AND

One-on-One Guidance from FIG

 
 

PAY IN FULL

automatic 5% discount if full payment

$4,999

$4,749.05

PAYMENT PLAN

$4,999

1st payment of $999,

then 5 monthly payments of $800

 
Frequently Asked Questions

What is the best package for me – if I want to be a Medicare Set-Aside Consultant Certified (MSCC)? (click here)

Aspen is a ‘basic’ package with minimum hand holding. Aspen is very much a DIY package with need to know information, but instructors are available during class for support. If taking the MSCC exam, the Aspen does not include the peer reviewed MSA case study – as required by ICHCC. You have the option to upgrade to the peer reviewed MSA case study for an additional charge, but this will cost more than the Maple package. If taking the MSCC exam, please consider the Maple package.

Maple is an expanded package with perks of a live virtual class, peer review of homework, detailed workbook, and feedback from instructors. This is more of a hand holding when needed/requested, but instructors are available during class. If you will be taking the MSCC exam, the Maple includes the peer reviewed MSA case study – as required by ICHCC. Maple is our most popular package.

Sequoia is the deluxe, red carpet VIP package with benefits of an open door to instructors, resources, and coaching. Workbooks and resources are overflowing. Instructors provide high-touch mentoring during and after the class. Benefits of the Sequoia do not expire and priority is given to the Sequoia student – in all aspect of learning, mentoring, and coaching. There are benefits only available in the Sequoia package (such as lifetime coaching with no expiration, Word format templates/samples & in-depth business/marketing strategies) that cannot be upgraded from the other packages.

For more detail about each package – please view our FIG package video. (click here)

What is the Treehouse? (click here)

FIG Treehouse is a hide-away of resources, support, and networking for each FIG student. When enrolled in a class, students have free access to the Treehouse – where you will find a library of resources/templates/samples/video demonstrations, networking among colleagues, support from FIG instructors, and industry news (including job postings). Once you’ve completed the class, FIG students have the option of a monthly or yearly membership to continue their learning curve and stay connected within their professional community.