CMS Answers Fee Schedules, Seed Calculations and Inflation Issues

Medicare Set-Aside Blog on October 15, 2004 | Posted by



As questions continued to pour in regarding fee schedules, MSA administration, seed calculations, and accounting for inflation, Center for Medicare and Medicaid Services (CMS)  published  a new memo.


Some of the questions and answers provided include:

What is CMS’s policy with respect to reviewing WC Medicare Set-Aside arrangement proposals using either WC fee schedule amounts of full actual charges as the basis for the proposal?

May Medicare accept an up-front cash settlement for future medicals directly from the settling parties instead of a WC Medicare Set-Aside arrangement?

Must the WC Medicare Set-Aside arrangement include an upward adjustment for inflation?

Is a WC Medicare Set-Aside arrangement appropriate when resolution of the WC claim leaves the medical aspects of the claim open
?

Read the full Question and Answer PDF file .



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