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Tag: WCMSA

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...

Will CMS Re-Review an Approved MSA?

Jan 21, 2020
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

Gregory Lisowski to Present at Greater Bridgeport Bar Association

Dec 31, 2019
Gregory Lisowski has been asked to speak on issues of Medicare Secondary Payer Compliance before the Greater Bridgeport Bar Association on February 7, 2020. The presentation will focus on the...

CMS Announces New Guidelines For Re-Review Of Previously Approved WCMSAs

Jul 26, 2017
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

Jun 22, 2017
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...

CMS Signals Use of LMSAs In 2017

Jun 17, 2017
Over the past few weeks, the Centers for Medicare and Medicaid Services (CMS) has strongly signaled that it will begin taking steps to enforce the Medicare Secondary Payer (MSP) Act...