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…
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…
Staying in the know about what’s happening with Medicare is critical, as the changes to regulations can have an impact on workers’ compensation for payers. Recently, the Centers for Medicare & Medicaid Services (CMS) released Version 3.0 of the WCMSA…
About three years ago, we posted the article, “Could you cut $185,000 from your MSA?” The crux of this article was that by simply changing one drug from brand name to generic, you could save $185,000 from the cost of a Medicare Set-aside (MSA). …
On September 1, CMS hired Capitol Bridge, LLC to be the new review contractor for MSAs. According to CMS employees that we’ve spoken to, the transition is currently underway. The old contractor is staying on for an indeterminate amount of time to h…
CMS now permits some old MSAs to be re-approved Before this week, the Centers for Medicare & Medicaid Services (CMS) had a simple philosophy: Parties get one bite at the apple when it comes to CMS approval. However, on Monday, CMS released an upda…
Last week I posted that CMS appeared to have altered the zero dollar MSA approval process. This caused a great deal of discussion and activity. This has resulted in CMS releasing the following bulletin indicating that no changes …
For the past several years, we have been successful in obtaining zero dollar MSAs approved by the MSA review contractor. The case, however, had to meet very strict criteria: The case was denied; There had to be no payments for indemnity; There…
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…
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…