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Category: Uncategorized

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...

Is CMS Ever Going to Issue Regulations Governing Liability MSA’s?

Dec 21, 2021
This week, Medicare once again punted on releasing notice of proposed rulemaking for post-settlement medical care on liability claims.  Medicare has been seriously hinting at implementing such regulations since December...

CMS Issues Annual Mandatory Insurer Reporting Threshold

Dec 17, 2021
The Centers for Medicare & Medicaid Services (CMS) have again set the mandatory reporting threshold for physical trauma-based insurance settlements at $750. According to this alert, CMS will maintain the...

MSA Services’ Chief Legal Counsel to Present at Connecticut Interlocal Risk Management Agency (CIRMA)

Oct 27, 2021
Gregory Lisowski, MSA Services managing partner and chief legal counsel will be presenting at Connecticut Interlocal Risk Management Agency (CIRMA) on November 17, 2021. The topic of discussion will be...

MSA Services Now Offers Mediation Services for Workers’ Compensation Claims

Oct 26, 2021
Gregory Lisowski who is the managing partner and chief legal counsel at MSA Services, LLC is now available to mediate complex workers’ compensation claims. Attorney Lisowski is not only a...

CMS Changes Their Section 111 Processes

Sep 28, 2021
The Centers for Medicare and Medicaid Services (CMS) announced a change to their Section 111 processes. As of October 4, 2021, CMS will accept a claim when the MSP effective...

CMS Must Now Share Medicare Advantage and Part D Info as Part of the “PAID Act”

Dec 15, 2020
President Trump just signed the PAID Act into law, as part of the “Further Continuing Appropriations Act, 2021, and Other Extensions Act.” This Act now requires Medicare to share Medicare...

Court Upholds Insurer’s Refusal to Disburse Settlement Funds Until Plaintiff Proves Reimbursement of Medicare Conditional Payments

Sep 10, 2020
Not often do you see an MSP compliance issue arise in a bankruptcy decision. (But it’s 2020 and nothing seems to surprise me anymore.) In the matter of In Re...