Future Medical Cost Projections: A Valuable Tool for Settlement Negotiations
By: Gregory Lisowski of MSA Services, LLC Anyone who handles personal injury or workers’ compensation cases knows that future medical costs have a direct and significant impact on the overall...
The Deadline for Section 111 Reporting of WCMSA Amounts is Quickly Approaching
By: Gregory F. Lisowski of MSA Services, LLC On February 23, 2024, the Centers for Medicare and Medicaid Services (CMS) announced that Section 111 reporting must now include data on...
Important Updates in the Use of Workers’ Compensation Medicare Set Aside Arrangements
By: Gregory F. Lisowski, MSA Services, LLC Date: January 22, 2025 CMS recently outlined several new changes in the Workers’ Compensation Medicare Set Aside Arrangement review process. On January 17,...
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...
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...
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...
Will CMS Re-Review an Approved MSA?
Here is the latest content from our YouTube channel addressing the issue of re-review and amended review of an approved MSA. https://binged.it/2RcV4tu
CMS Announces New Guidelines For Re-Review Of Previously Approved WCMSAs
In the WCMSA User Guide version 5.1 which was published on July 10, 2017, CMS finally expanded the circumstances under which they will consider a re-review of a previously approved...
The Use of Future Medical Cost Projections
Have you struggled with what it means to “consider Medicare’s interests” where your case does not fall within the CMS review thresholds. While CMS has not specifically defined how it...