CMS Answers Fee Schedules, Seed Calculations and Inflation Issues
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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