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Firm Overview

Angelo Paul SevarinoBoard Certified Workers' Compensation Specialist and Nationally Certified Medicare Set-aside Consultant*

While in private practice and as "Of Counsel" with the firm of Morrissey, Morrissey & Mooney, LLC I have worked with hundreds of attorneys, law firms and claims professionals throughout Connecticut, as well as other states providing integrated settlement solutions for the practitioner with workers' compensation and/or liability settlements where Medicare, Social Security or Medicaid collateral benefits are at issue. My include proper development and calculation of a Workers’ Compensation Medicare Set-aside (WCMSA) or Liability Medicare Set-aside (LMSA), Medicare conditional payment investigation and reconciliation with the Medicare Secondary Payer Recovery Contractor (WSPRC), where appropriate referral of a WCMSA or LMSA to The Centers for Medicare & Medicaid Services(CMS) and preparation of settlement documents and/or releases including critical client disclosure documents.

I have over 40 years combined experience in the industry and practice fields of workers’ compensation, Social Security disability and Medicare. I am a board-certified workers' compensation specialist by the Connecticut Bar Association Standing Committee on Workers' Compensation Certification and am nationally credentialed by the Commission on Health Care Certification (CHCC) as a Medicare Set-Aside Consultant (MSCC)*.

I am Av-rated under Martindale-Hubbell's Peer Review Rating System®, recognized in Best Lawyers, Top Attorneys and Super Lawyer publications, authored four text in the fields of workers’ compensation, Medicare and Social Security and have written numerous articles on workers’ compensation and liability settlements, Social Security offsets and Medicare Set-asides and presented at over 75 conferences and continuing legal education seminars.

My practice emphasizes prompt responses to practitioner’s inquiries, high ethical standards, comprehensive settlement document preparation including important client disclosure documents and an efficient and cost-effective resource for assisting the practitioner in resolving settlements with Medicare and Social Security collateral benefit components.

My Practice:

  • Workers' Compensation Medicare Set-aside (WCMSA) Services:

    If your workers’ compensation client is a Medicare beneficiary or has a reasonable expectation of being a Medicare beneficiary within 30 months of the settlement of a workers' compensation claim, my office will prepare a Workers’ Compensation Medicare Set-aside account (WCMSA) analysis of those future work related medical services and prescription drug costs which would otherwise be payable or reimbursable by Medicare so as to minimize the amount your client will be required to "set aside" from the gross settlement proceeds in order to comply with current regulatory requirements.

    Use of a WCMSA is voluntary but is generally considered the best method to utilized to document you have properly considered Medicare’s interests in the settlement.

    The WCMSA aims to serve two important services. First is to protect the client's existing Medicare coverage availability, as well as, protecting the client’s future Medicare entitlement. Unless the WCMSA is undertaken, and where appropriate referred to The Centers for Medicare & Medicaid Services (CMS) the client’s Medicare benefits may not be available. Second, the practitioner must be mindful of the legal pitfalls in this area and safeguard against possible legal malpractice claims for failure to protect the client's existing or future Medicare entitlement.

    This is best accomplished by proper use of a Workers’ Compensation Medicare Set-aside (WCMSA) and, when indicted, referral of the WCMSA to The Centers for Medicare & Medicaid Services (CMS).

    The WCMSA analysis will project anticipated work related injury or illness medical services and prescription drug therapy costs which would otherwise be payable or reimbursable by traditional Medicare Parts A or B and Medicare Part D, if applicable. The medical services costs are calculated using either full actual charges or the applicable State fee schedule The prescription drug costs are calculated based upon the Average Wholesale Cost as projected by Red Book®. Further these costs are calculated on an annual basis and then projected based upon the life expectancy of the client as determined either based upon actual age or rated age.

    The objective is to provide the practitioner with a comprehensive future cost projection of the amount of the gross settlement proceeds which will need to be segregated into a dedicated account so as to protect the client’s important current and future Medicare entitlement.

    To learn more about the WCMSA process or to request this service click Workers’ Compensation Medicare Set-aside (WCMSA) Request

  • Liability Medicare Set-aside (LMSA) Services:

    If the liability client is a Medicare beneficiary or has a reasonable expectation of being a Medicare beneficiary within 30 months of the settlement of a personal injury liablity claim my office will prepare a Liability Medicare Set-aside account (LMSA) analysis of those future accident related medical services and prescription drug costs which would otherwise be payable or reimbursable by Medicare so as to minimize the amount your client will be required to "set aside" from the gross settlement proceeds in order to comply with current regulatory requirements.

    This is best accomplished by proper use of a Liability Medicare Set-aside (LMSA ) Use of a LMSA is voluntary but is generally considered the best method to utilized to document you have properly considered Medicare’s interests in the settlement.

    The LMSA aims to serve two important services. First is to protect the client's existing Medicare coverage availability, as well as, protecting the client’s future Medicare entitlement. Unless the LMSA is undertaken (currently there are no CMS referral thresholds for referral to The Centers for Medicare & Medicaid Services (CMS)) the client’s Medicare benefits may not be available. Second, the practitioner must be mindful of the legal pitfalls in this area and safeguard against possible legal malpractice claims for failure to protect the client's existing or future Medicare entitlement.

    The LMSA analysis will project anticipated accident related injury or illness medical services and prescription drug therapy costs which would otherwise be payable or reimbursable by traditional Medicare Parts A or B and Medicare Part D, if applicable. The medical services costs are calculated using full actual charges and the prescription drug costs are calculated based upon the Average Wholesale Cost as projected by Red Book®. Further these costs are calculated on an annual basis and then projected based upon the life expectancy of the client as determined either based upon actual age or rated age.

    The objective is to provide the practitioner with a comprehensive future cost projection of the amount of the gross settlement proceeds which will need to be segregated into a dedicated account so as to protect the client’s important current and future Medicare entitlement.

    To learn more about the LMSA or to request this service click here Liability Medicare Set-aside (LMSA) Request

  • Medicare Conditional Payment Services:

    If your client is currently a Medicare beneficiary or has been a Medicare beneficiary in the past my office provides complete Medicare compliance including notice, investigation and reconciliation of any Medicare conditional payments which are payable from the settlement proceeds.

    “To learn more about the Medicare conditional payment process click Medicare Conditional Payment Services

  • Social Security Offset Services:

    If your client will receive either periodic or lump sum workers' compensation payments concurrently while receiving Social Security Disability benefits your client may be subject to having those important Social Security benefits reduced by what is known as "offset." My office will draft settlement language which mitigates or eliminates, if possible, the adverse impact Social Security offset provisions can have on your client's important monthly Social Security Disability benefits.

    “To learn more about Social Security offsets click Social Security Offset Services

  • CMS Referral Services:

    If your settlement meets certain review thresholds as developed by The Centers for Medicare & Medicaid Services (CMS) your settlement needs to be referred to CMS. My office provides complete referral services for your workers' compensation or personal injury settlement including initial submission, as well as, resolution of any CMS counter proposal.

    “To learn more about the CMS referral process click CMS Referral Services

  • Workers' Compensation Settlement Document Preparation Services:

    If you are settling a workers’ compensation claim you need your client’s settlement documents carefully drafted to not only include the terms and conditions of the settlement but language provisions that consider the implication of the workers’ compensation settlement on important collateral benefits such as Social Security Disability, Supplemental Security Income, Medicare, Medicaid, federal/state cash or medical assistance, short or long term disability benefits or public or private pension plan benefits.

    Consideration should also be given to any potential offset to Social Security Disability benefits due to receipt of concurrent workers’ compensation periodic or lump sum proceeds; Medicare and the need for a Medicare Set-aside analysis; whether or not the settlement meets current review thresholds issued by The Centers for Medicare & Medicaid Services (CMS); and Special Needs Trust implications where your client’s settlement proceeds may render the client ineligible for Supplemental Security Income or Medicaid benefits.

    This service provides tailored drafting of settlement documents including important disclosure documents for your client which include the “Informed Consent as to Medical Expenses or Care” and “Notice of Consequences of Your Settlement” forms. These latter two forms provide important plain English disclosure information advising your client of the consequences, obligations and responsibilities which come with the settlement of the claim and how collateral benefits may be impacted.

    Normal turn-around time is 10 business days from receipt of the completed Workers’ Compensation Settlement Document Request Worksheet. The normal charge for preparation of the settlement document and supporting Notice of Consequences of Your Settlement and Medical Informed Consent as to Medicare Expenses or Care forms is $975. Information to secure your client’s Social Security information is an additional $175 charge.

    To request this service please click Workers’ Compensation Settlement Document Request Worksheet.

  • Expert Testimony Services and Legal Opinion Letters:

    My office is often called on by other lawyers to prepare legal opinion letters or to provide expert testimony on matters involving workers' compensation claims, Medicare Set-asides or Social Security offsets. My office provides this service on a broad range of issues, including the valuation of a case, the legal issues involved and matters of causation or insurance liability.

    "To learn more about expert testimony services and legal opinion letters click Expert Testimony Services and Legal Opinion Letters."

  • ADR Arbitration/Mediation Services:

    My office will provide private ADR mediation/arbitration services for workers' compensation and liability settlements conducted at either Claimant/Plaintiff or Respondent/Defendant's office location.

    “To learn more about ADR arbitration and mediation services click ADR Arbitration/Mediation Services".

Contact the Law Office of Angelo Paul Sevarino

For a free initial telephone consultation call at 860-870-3803 or email me at wclawyer@aol.com.

*Connecticut does not certify lawyers as specialists in Medicare law.

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Law Office of Angelo Paul Sevarino
26 Barber Hill Road
Broad Brook, CT 06016
Office: 860-870-3803
Fax: 860-870-3805
Email: wclawyer@aol.com

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