Shannon Metcalf
Experienced Workers’ Compensation and Medicare Secondary Payor Act Compliance Attorney and Certified MSA Consultant
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Specialties & Experience
About Shannon Metcalf — Experienced Workers’ Compensation and Medicare Secondary Payor Act Compliance Attorney and Certified MSA Consultant in Charlotte, North Carolina
Shannon Metcalf is a partner in the Charlotte office of Hedrick Gardner, bringing extensive experience to the areas of workers’ compensation defense, Medicare Compliance, and Medicare Set-Asides. As a certified Medicare Set-Aside consultant, Shannon Metcalf possesses a thorough understanding of the intricacies involved in handling Medicare Set-Asides (MSAs). This includes navigating the complexities of the Centers for Medicare and Medicaid Services (CMS) and its Coordination of Benefits & Recovery (COBR) section. Shannon Metcalf works with a diverse range of clients, including insurance companies, self-insured corporations, Third-Party Administrators (TPAs), attorneys, structured settlement brokers, professional administrators, and risk managers, providing consulting services and training on crucial Medicare Compliance matters.
For those seeking a Workers' Compensation attorney in Charlotte, Shannon Metcalf offers guidance on insurer compliance under the Medicare Secondary Payer (MSP) Act as regulated by CMS. This includes counsel regarding the necessity for Medicare Set-Aside Allocations, preparation of these allocations, and their submission to CMS for approval. Shannon Metcalf also focuses on considering Medicare’s interest at all stages of litigated and non-litigated workers’ compensation and liability matters, facilitating the settlement process, and addressing options for resolving Medicare claims. Furthermore, Shannon Metcalf assists with the resolution of conditional payment lien issues, preparation of settlement documents to adequately address Medicare concerns, and mandatory insurer (RRE) reporting compliance under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA).
Location & Contact
Frequently Asked Questions
Where is Shannon Metcalf located?
Shannon Metcalf is located in Charlotte, North Carolina.
What areas of law does Shannon Metcalf practice?
Shannon Metcalf practices in the areas of Workers' Compensation, Medicare Compliance, and Medicare Set-Asides.
Is Shannon Metcalf part of a law firm?
Shannon Metcalf is a partner in the Charlotte office of Hedrick Gardner.
How can I contact Shannon Metcalf by phone?
You can contact Shannon Metcalf by phone at 704-366-1101.
How can I schedule a consultation with Shannon Metcalf?
To schedule a consultation, please refer to the contact options available on this page.
More about Shannon Metcalf
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Practice Areas
Workers' Compensation
Workers' compensation cases in Charlotte, North Carolina, involve claims made by employees who have sustained injuries or illnesses arising out of and in the course of their employment. These claims can range from sudden accidents, such as falls or machinery-related injuries, to occupational diseases developed over time due to workplace exposure. Employers and their insurance carriers often face complex legal and medical issues when defending against such claims, including determining the compensability of an injury, managing medical treatment, and calculating appropriate disability benefits. Having an experienced Workers' Compensation lawyer in Charlotte North Carolina is important to navigate the state's specific laws and regulations, ensuring that all aspects of a claim are handled efficiently and in compliance with legal requirements. Shannon Metcalf assists clients with these intricate matters, focusing on defense strategies and compliance.
Medicare Secondary Payor Act Compliance
Compliance with the Medicare Secondary Payor (MSP) Act is a critical concern for entities involved in workers' compensation and liability settlements in Charlotte, North Carolina. The MSP Act ensures that Medicare does not pay for services when payment has been made or can reasonably be expected to be made by a primary payer, such as a workers' compensation insurer. Non-compliance can lead to significant financial penalties and legal challenges. This area of practice involves understanding and adhering to CMS guidelines, which often requires careful consideration of Medicare's interests throughout the claims process, from initial evaluation to final settlement. An attorney in Charlotte, North Carolina, with a focus on MSP Act compliance, like Shannon Metcalf, can provide essential guidance on identifying and resolving Medicare conditional payment liens, preparing Medicare Set-Aside Allocations, and ensuring mandatory insurer reporting requirements under Section 111 of the MMSEA are met. This proactive approach helps mitigate risks and facilitates smoother settlement resolutions for clients.
Medicare Set-Asides (MSAs)
Medicare Set-Asides (MSAs) are a crucial component of many workers' compensation settlements, particularly when an injured worker is a Medicare beneficiary or has a reasonable expectation of becoming one. An MSA is a portion of a settlement that is
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