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Month: January 2022

Did CMS Just End the Use of “Evidence Based” and “Non-Submit” Medicare Set-Asides?

Jan 11, 2022
On January 10, 2022, the Centers for Medicare and Medicaid Services (CMS) published Version 3.5 of the Workers Compensation Medicare Set-Aside Arrangement Reference Guide. Section 4.3 of the updated version...

The Top 5 Reasons CMS Will Issue a Development Request

Jan 4, 2022
Nothing is more frustrating than reaching a workers’ compensation settlement only to have it delayed by weeks or months due to problems with the Medicare Set Aside (MSA) submission. One...

What Criteria Does CMS Use When Reviewing an MSA?

Jan 4, 2022
According to the WCMSA Reference Guide, the Workers’ Compensation Review Contractor will consider the following factors in making a decision about the adequacy your Medicare Set Aside: • The past...