CMS to Begin Utilizing 2011 Life Table

CMS, ICD-10, ICD-10, Medicare Set-Aside Blog, MEDVAL News, MSP News on March 30, 2016
Posted by Jean S. Goldstein, JD, CMSP

CMS has yet to issue a notification or alert regarding use of an updated life table.  However, the CMS WCMSA web portal, where we upload our CMS submissions, has alerted authorized web portal users that as of March 31, 2016, CMS will begin referencing CDC’s Table 1: Life table for the total population: United States, 2011.  This means that for any WCMSA proposal received by CMS, or where any WCMSA case is reopened on or after March 31, 2016, CMS will apply the CDC’s 2011 Table 1 for life expectancy calculations.

Similar to previous updates, the increases noted on the life table are minor, such that the rounding life expectancy should result in the same age in many instances.  A link to the CDC’s 2011 Life Table can be found here.  We would expect CMS to issue an alert shortly.

Aside from allowing cases to be reviewed and received in a more efficient manner, the web portal alerts users to many important updates.  The portal has also confirmed CMS’ use of ICD-10 codes within CMS submission and CMS’ acceptance of ICD-9 codes for specific injuries.  Effective April 4, 2016, the WCMSA web portal will not allow users to proceed if ICD-9 codes are entered for a case with an initial date of injury on or after 10/1/2015.  As we have reported in the past, ICD-10 diagnosis codes are required for reporting requirements, and CMS submission requirements, for those cases with an initial date of injury on or after October 1, 2015.