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June 30, 2023
Michael Merlino
SVP, Medicare compliance
Medicare set asides: now with fewer amended review restrictions

In 2017, the U.S. Centers for Medicare and Medicaid Services (CMS) began allowing older Medicare set aside arrangements (MSAs) for workers’ compensation to be reviewed and approved a second time. Prior to the introduction of this process, known as “a…

June 30, 2023 by Michael Merlino, SVP, Medicare compliance
Blog
May 16, 2023
Michael Merlino
SVP, Medicare compliance
3 Medicare compliance issues to keep an eye on

Effective management of the costs associated with liability and workers’ compensation claims in the U.S. must include assuring compliance with the requirements of Medicare. It’s a tricky system to navigate and a bit of a moving target, but our team o…

May 16, 2023 by Michael Merlino, SVP, Medicare compliance
Blog
March 27, 2020
Professional Liability Team, Sedgwick
Are you prepared? Healthcare and liability concerns during the coronavirus outbreak

As a claims organization, it’s up to us to keep our clients and their customers informed on current issues and deliver peace of mind. The healthcare, product liability and life sciences space is constantly evolving, but we’re keeping an eye on the fo…

March 27, 2020 by Professional Liability Team, Sedgwick
Blog
March 01, 2017
Mike Merlino
SVP Medicare Compliance
It is happening: LMSAs (and NFMSAs) are almost here

For the past several years, the Centers for Medicare & Medicaid Services (CMS) has been providing the industry with vague hints about liability Medicare set-aside arrangements (LMSAs). The absence of clarity left the liability community unable to…

March 01, 2017 by Mike Merlino, SVP Medicare Compliance
Blog
June 04, 2015
Deborah McElhannon, RN Consultant Lead – PL
To alarm or not to alarm….What is the answer?

Fall prevention has been one of the most challenging issues facing providers of healthcare for as long as, well, for as long as there have been providers of healthcare. Not only do falls have serious impacts on patients, but healthcare facilities …

June 04, 2015 by Deborah McElhannon, RN Consultant Lead – PL
Blog
January 21, 2015
Mike Merlino
SVP Medicare Compliance
Could you cut $185,000 from your MSA?

What if I told you that you could save $185,000 at no cost to you? No, I am not advertising for some late night TV infomercial where the offer is too good to be true. I am talking about the world of Medicare set-asides (MSA). It is well known that pr…

January 21, 2015 by Mike Merlino, SVP Medicare Compliance
Blog
October 30, 2014
Mike Merlino
SVP Medicare Compliance
Change, non-change important to Medicare compliance regulations

If you have been trying to keep up with the latest Medicare compliance changes, you might feel like you are watching the carnival vendor who used to say, “around and around it goes and where it stops nobody knows.” Fortunately, with these answers y…

October 30, 2014 by Mike Merlino, SVP Medicare Compliance
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