Amended Review

Leverage Amended the Review Process & Discover Significant Savings

have experienWe advocate for clients to take advantage of the Centers for Medicare and Medicaid Services’ (CMS) Amended Review process, which allows for clients to resubmit a previously approved MSA with the intent of altering the final approval amount.

Cases eligible for this process must meet certain criteria including:

  • The MSA must have been approved between one and six years from the date the re-review is submitted (very recently approved cases are not eligible for re-review)
  • The re-review request cannot have had a previous request for an Amended Review
  • Final settlement documents have not been submitted to CMS
  • The request must result in a 10% or $10,000 change (whichever is greater) in CMS’ previously approved amount

Clients who have taken advantage of this opportunity have experienced significant reductions in MSAs and find themselves able to settle previously “un-settleable” cases. Our clients have settled these cases while reducing total settlement costs by more than 50% on average.

“You consistently produce the best MSAs in the business.”

Claims Manager

Albany, NY