Compliance • Education Securing Settlements for Medical Settlement Closure One of the biggest reasons injured individuals are reluctant to settle their claims is uncertainty. It often keeps many individuals... more April 10, 2024 • John Kane, AIC, MSCC, CMSP-F
Compliance • Industry Insights • Legislative & Regulatory Key Updates in NGHP User Guide Version 7.5: WCMSA Reporting Essentials On April 2, the Centers for Medicare and Medicaid Services (CMS) released an update to the Section 111 NGHP User Guide Version 7.5. ... more April 3, 2024 • John Kane, AIC, MSCC, CMSP-F
Compliance • Education Protecting Future Medical Care: Crucial Reporting for Your Medicare Set Aside Navigating Medicare Set Asides (MSAs) post-settlement can be daunting, particularly for those dealing with injuries. Often overlooked,... more January 24, 2024 • Ametros
Compliance • Legislative & Regulatory Post-Settlement Update: CMS Provides Instructions to Providers when WCMSAs Involved On February 23, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a transmittal (Transmittal #: R11874MSP) regarding,... more March 3, 2023 • Shawn Deane
Compliance • Legislative & Regulatory • News Releases CMS Provides Clarification Regarding MSA Re-Review Requests & Limitations in Updated Version of WCMSA Reference Guide The Centers for Medicare & Medicaid Services (CMS) released Version 3.8 of the Workers’ Compensation Medicare Set Aside (WCMSA)... more November 15, 2022 • Shawn Deane
Compliance • Industry Insights • Legislative & Regulatory CMS Issues Position on Non-Submit MSAs in Updated WCMSA Reference Guide The Centers for Medicare & Medicaid Services released Version 3.5 of the Workers’ Compensation Medicare Set Aside (WCMSA) Reference... more January 12, 2022 • Shawn Deane & John Kane
Compliance • Industry Insights New WCMSA Reference Guide Brings with it an Important Reminder A new version of the Workers’ Compensation Medicare Set Aside (WCMSA) Reference Guide brings with it an important reminder to ensure CMS... more October 5, 2021 • Shawn Deane
Compliance • Education Determining Medicare Covered Items & Services for Your Medicare Set Aside Pursuant to the Medicare Secondary Payer (MSP) provisions, following certain types of settlements which resolve medicals, Medicare may not... more April 6, 2021 • Kathleen Correia
Compliance • Education Medicare Set Asides 101: Professional Administration In the course of settling a worker’s compensation or liability case, there are many obstacles to overcome. One of the most frequent... more January 7, 2020 • Porter Leslie
Compliance • Education CMS Holds Webinar on Electronic Attestation for Professional Administration CMS Holds Webinar on Electronic Attestation for Professional Administration On November 6, 2019, the Centers for Medicare &... more November 6, 2019 • Shawn Deane
Compliance • Education Q&A with Humana: Medicare Secondary Payer, Conditional Payments, and Medicare Set Asides Many people understand that the Medicare program provides hospital benefits under Medicare Part A and professional service benefits under... more August 28, 2019 • Krista Johnson
Compliance Medicare is Issuing Denials The Centers for Medicare and Medicaid Services (CMS) asserts it has the right to deny paying for a treatment if a settlement recipient... more May 29, 2019 • Ametros