Liability Primary Payer AllocationSM (LPPASM)

Medicare's interests must be taken into consideration on settlements involving a Medicare-eligible individual including liability and no-fault cases. To ensure compliance, payers need a tool that addresses the complexities of low dollar liability settlements. PMSI Settlement Solutions is the creator and exclusive provider of the Liability Primary Payer Allocation (LPPA). This cost-effective report is specifically designed to provide auditable documentation of compliance with Medicare Secondary Payer (MSP) requirements, when the monetary amount of the settlement does not justify the expense of a Liability Medicare Set-Aside (LMSA).

Incorporating liability-specific claim considerations such as comparative negligence and other applicable legal issues, the LPPA helps close smaller claims with the lowest defensible allocation while ensuring compliance with MSP regulations. The LPPA is available for liability cases with a total allocation under $15,000 where the injured party requires only limited future medical care.

• Establishes the portion of a liability settlement to be set-aside for future medical treatment and prescription drug expenses for the Medicare-eligible injured party
• Provides recommendations for compliance with MSP requirements
• Considers policy limits, comparative negligence and other applicable legal issues