NSC PACKAGE

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NSC Package Review is a comprehensive report designed to assist the attorney regarding the “true value” of the case.  A Medicare Set Aside certified consultant (MSCC) examines all presented medical records and develops a report based on their findings. The Reviews will address the following to help settle or to litigate the claim.

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• Includes a detailed summary of the case and nature of injury/illness,

• Provides a list of detailed chronologically medical review (Exhibit),

• List of doctors (witness list),

• Properly identify pre-existing conditions,

• Highlights ICD-10 codes relevant to injury,

• Accepted body parts and Denied body parts,

• Cost projection of future Medicare-covered treatment with a Lump sum and structured payouts,

• Cost projection of non-Medicare covered items,

• MSP Compliance, verify the injured persons Social Security and Medicare eligibility status, to confirm that an MSA allocation is warranted,

• Determine if Medicare has any outstanding conditional payments(lien) that will need to be reimbursed at the time of settlement,

• Determine if life Care Planning report is required (home care, transportation, architectural renovation, other costs)

• Rate the PTP, QME, AME report,

• Rated Age Assignment if needed,

• Determine if CMS submission is warranted