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 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 be 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 with the completion of a Medicare Set-Aside Allocation, and assist 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.  The lesson includes a recorded presentation, reading assignment, and homework.  The homework consists of multiple choice and essay questions.

In 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).


Let’s take a look at the class packages (Aspen, Maple, & Sequoia)click here.