A Practitioner’s Guide to the Types of Medicare
While many practitioners have a general idea of what Medicare is, most still lack basic knowledge about what the different Parts of Medicare are and what each of them cover....
What Can a Practitioner Expect from the CMS Review Process?
The first step in getting a Medicare set aside (MSA) approved by the Centers for Medicare and Medicaid Services (CMS) is to consult with a qualified MSA professional, such as...
Will CMS Still Approve Zero-Dollar MSA?
While there are strict documentation requirements, there are still three ways you can get CMS to approve a zero-dollar MSA. 1. The Claim is Fully Contested The first scenario where...
Did CMS Just End the Use of “Evidence Based” and “Non-Submit” Medicare Set-Asides?
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
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?
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?
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
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)
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...