Compliance • Industry Insights • Legislative & Regulatory Preparing for Section 111 WCMSA Reporting: Key Technical and Professional Administration Considerations The Centers for Medicare & Medicaid (CMS) hosted their second Section 111 Reporting of Workers Compensation Medicare Set-Asides (WCMSA)... more April 17, 2024 • John Kane and Jayson Gallant
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 • Education Why Should Workers’ Comp Carriers, Self-Insured & Injured Workers Care About the MSP Act? Let’s take a moment to look at an example of a workers’ compensation claim. You have an injured worker who has failed back surgery,... more October 2, 2023 • John Kane, AIC, MSCC, CMSP-F
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 • Legislative & Regulatory • News Releases Medicare Set Aside Regulatory Update The date for issuance of a proposed rule relating to Medicare Secondary Payer (MSP) obligations around post-settlement medical expenses has... more December 17, 2021 • Shawn Deane
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 Impact on Medicare Compliance as CMS Begins Covering Acupuncture On January 21, 2020, the Centers for Medicare & Medicaid Services (CMS) announced via a Decision Memo that, for the first time... more February 17, 2020 • Ametros