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…
Vivid memories of desperate nursing home residents in wheelchairs submerged waist-high in flood waters will forever be etched in our minds, especially during hurricane season. The shocking photos and tragic heat-related deaths of numerous skilled nur…
Over the past several months there have been direct communications from the Centers for Medicare & Medicaid Services (CMS) that liability Medicare set-aside arrangements (LMSAs) were on the horizon. In this blog we commented on a February announcemen…
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…
Kathy Shostek, Vice President Healthcare Risk Management contributed a recent post about the management of drug samples in physician offices. The blog outlined the need for strategies for documentation and management of drug samples for reducing ri…
Learn more: Click above for additional Sedgwick perspective on the ACA in our Foresight for '14 or watch our Foresight for '14 video at youtu.be/hXt7Z8bGa44 The Affordable Care Act (ACA) is bringing many changes to the healthcare system in America –…
It has been stated repeatedly that the Affordable Care Act (ACA) with its 900+ pages is the single most controversial law passed by Congress in the last 10 years. Since the ACA was signed into law in March 2010, the industry has been buzzing about th…