Founded in 1995, this firm assists counsel, insurance carriers, self-insured employers, and third party administrators in settling workers’ compensation and liability claims while preserving the claimant’s Medicare eligibility. We communicate closely with the Worker’s Compensation and Liability attorneys as well as the Self Insured or Insurance Carrier to ensure compliance with Medicare’s statutes and regulations. Our courteous and knowledgeable staff are accessible and eager to provide prompt answers to your questions.
When settling claims, parties must consider Medicare’s interests under the Medicare Secondary Payer (MSP) Act. Medicare’s preferred method of compliance is for the settlement to include funding of a Medicare Set-Aside (MSA). This involves setting aside a portion of the settlement funds to cover injury related medical care that would otherwise be covered by Medicare. If the Centers for Medicare & Medicaid Services (CMS) determine the set-aside amount is adequate, Medicare will agree to primary payer status once the MSA funds are exhausted.
To ensure any subrogation interests held by Medicare are satisfied pursuant to the MSP Act and regulations, Medicare recovery claims must also be resolved. Our firm conducts conditional payment research to determine whether CMS intends to pursue recovery and to identify the conditional payment amounts. Our attorneys offer legal services to reach compromise or waiver of those conditional payment amounts, while preserving the claimant’s Medicare benefits.
Education
Atlanta Law School, 1994 Juris Doctor with Honors
University of Georgia, 1975 Masters in Education with major in Rehabilitation Counseling
Phi Kappa Phi Honor Society
Medicare Set-Aside Consultant Certified (MSCC)
Professional Association and Memberships
State Bar of Georgia
Georgia Self Insurers Association, Inc
Atlanta Claims Association, Inc
Consultant Gerson Lehrman Group, Inc
Recent Speaking Engagements
Aside Arrangements
Georgia Certified Workers Compensation Professional (CWCP) Program Trainer on MSAs
Atlanta Claims Association Annual Seminar, February 2010
Atlanta Claims Association Annual Seminar, February 2009
Education
Trinity College, Bachelor of Arts
Suffolk University, Juris Doctor with Honors
Professional Association and Memberships
Atlanta Claims Association
Georgia Self-Insurers Association
State Bar of Georgia
State Bar of Massachusetts
State Bar of Rhode Island
Recent Speaking Engagements
Side By Side Clubhouse; TBI Non-Profit,
Conference, December 2015, Current MSA Issues
Advanced Workers Compensation Seminar, ICLE,
March 2016, Advanced Medicare Set Aside Issues
Education
Georgia State University, Bachelor of Arts with Honors
Background
Mrs. Watson is responsible for business development and client relationships. With over 15 years in the workers compensation and liability insurance industries, Leigh Ann brings Manley & Associates clients her vast experience gained from current relationships with an extensive list of national TPAS, insurance companies, and Self-Insureds.
Mrs. Watson began her career in the Workers’ Compensation claims arena with a regional carrier, progressing rapidly from the operations to the business development side of the industry.
Leigh Ann, a native of Georgia, resides in Dunwoody. Leigh Ann has been actively involved with Kids Chance, Inc, raising funds for the children of catastrophically injured workers.
Education
University of Georgia, Bachelor of Arts in International Relations
University of Georgia, Masters Degree in Public Administration
Background
Hoke serves as Manager and directs the activities of the firm. Hoke is a retired Air Force Colonel and former NCAA Compliance Administrator.
Background
Carolyn is a seasoned Medical Case Manager with 30 years workers’ compensation, disability management and eldercare experience. She is licensed as a Registered Nurse in her home state of Georgia as well as Alabama and North Carolina. She is also a certified case manager through CCMC and registered with Georgia and Tennessee as a rehabilitation provider. Carolyn worked as a Field Case Manager, Telephonic Case Manager and Branch Manager with major workers’ compensation payers which allows her to have a unique understanding of the needs of injured workers, as well as the carriers. Due to her diverse background in TCM, Utilization Review and Bill Review she has an excellent understanding of medical cost management. Carolyn also has a strong commitment to quality and training. From her experience building and rebuilding case management teams and developing case managers; her motto has become, “Practice what I preached” to assure exceptional service delivery.
Education
Brandy holds a Bachelors Degree in Psychology and is currently working towards obtaining her Masters in Forensic Psychology. She will then pursue a doctorate in Clinical Psychology.
Background
Brandy has been with Manley & Associates since 2015. She handles MSA Administration Services and enjoys working directly with our clients.
Background
Gina has worked with Manley & Associates for over 10 years. She handles the SSA/CPL and CMS departments within our MSA Services division. She provides assistance to Brandy regarding MSA Administration matters as well.
Background
Ken has worked with the firm since 2003, administrating and maintaining company equipment and software as well as inputting and processing new files and giving support to the paralegals.
© 2016 Manley & Associates. Material presented on this website is intended for information purposes only. It is not intended as professional advice and should not be construed as such.