We offer complete Medicare Secondary Payor Compliance resolutions for all insurance lines of business

Services

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We take a creative and integrated approach to the MSA product, following accepted treatment guidelines. Our services include providing cost-efficient analyses for claims settlements in the medical, legal, and pharmacy fields. We also offer a comprehensive review of medical and prescription treatments. Our area of expertise lies in designing and implementing compensation plans that incentivize employee behavior. We provide advice to companies on executive compensation, salary administration, sales compensation, and performance management programs. If you are encountering Medicare or workers’ compensation problems, we are here to provide practical and prompt solutions. Please give us a call today to learn more.

Medicare Set-Asides (MSA)

Safeguarding Medicare's interests in workers' compensation, auto, and liability settlements is crucial. Capstone,
Safeguarding Medicare's interests in workers' compensation, auto, and liability settlements is crucial. Capstone, LLC introduces an innovative and comprehensive approach to the MSA product, integrating medical, legal, and pharmacy cost analyses aligned with established guidelines. Our methodology involves utilizing rated ages for estimating life expectancy based on CDC charts. MSA submissions to Medicare undergo thorough reviews, meeting set thresholds and ensuring compliance with Medicare requirements.
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CMS Submission Services

Capstone, LLC offers CMS submission services encompassing meticulous document preparation for submission to the CMS portal.
Capstone, LLC offers CMS submission services encompassing meticulous document preparation for submission to the CMS portal. Our electronic submissions via the WCMSA Portal are streamlined, with ongoing communication with CMS until approval is secured. We also provide re-review consideration, if necessary, ensuring a complete understanding of CMS responses. Our commitment extends to pursuing signed consent and releases to facilitate a seamless process.
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Medical Cost Projections

Our Medical Cost Projections service provides a comprehensive overview of future medical expenses for both Medicare and non-Medicare cases.
Our Medical Cost Projections service provides a comprehensive overview of future medical expenses for both Medicare and non-Medicare cases. Capstone, LLC conducts a detailed review of medical and prescription treatments, and projections can be seamlessly converted into MSAs within a year if required. We also offer rated ages for accurate life expectancy estimations.
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Life Care Plans

Life Care Plans involve a meticulous analysis of treatment needs across the lifespan, utilizing a scientific approach for catastrophic injuries.
Life Care Plans involve a meticulous analysis of treatment needs across the lifespan, utilizing a scientific approach for catastrophic injuries. Developed by trained Life Care Planners, these plans incorporate nursing processes and case management skills. This invaluable resource spans various injury types and provides a roadmap for quality care.
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Case Management Services

Capstone specializes in catastrophic and medical field case management, ensuring coordination and collaboration with all treating providers for optimal outcomes.

Case Management Services

Capstone specializes in catastrophic and medical field case management, ensuring coordination and collaboration with all treating providers for optimal outcomes. Our services encompass the transition to appropriate levels of care promptly, addressing multiple injuries with complex co-morbidities. Family needs are integrated into all care plans, reflecting our commitment to comprehensive case management support.
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Call Us For Query

770-898-4148